Mcrae, Simon N

Mcrae, Simon N is an individual health care provider with primary practice located at 123 Summer St Suite 210, Worcester MA 01608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Mcrae, Simon N can be contacted via phone (508) 368-3183.

Contact Information

Primary practice address
123 Summer St Suite 210 Worcester MA 01608
Fax: (508) 368-3193
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 209442 Massachusetts

Profile Details

NPI number 1992774723
LBN Legal business name Mcrae, Simon N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Feb 18th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992774723 NPPES
Other 1900334 EVERCARE
Other 62203 EVERCARE
Other 042472266 EVERCARE
Other 042472266 EVERCARE
Other 51979 EVERCARE
Other 62203 EVERCARE
Other 042472266 EVERCARE
Other 784051 EVERCARE
Other 7501279 EVERCARE
Other J23861 EVERCARE
MEDICAID 0144401 EVERCARE
Other J23861 EVERCARE
Other J23861 EVERCARE
Other 209442 EVERCARE
Other AA13997 EVERCARE
Other 0144401 EVERCARE
Other 4865766 EVERCARE

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