Medich, Cynthia

Medich, Cynthia is an individual health care provider with primary practice located at 529 Pearl St , Brockton MA 02301-2825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Medich, Cynthia can be contacted via phone (508) 580-2211.

Contact Information

Primary practice address
529 Pearl St Brockton MA 02301-2825
Fax: (508) 427-1772
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult 364SP0809X 152784 Massachusetts

Profile Details

NPI number 1750476412
LBN Legal business name Medich, Cynthia
Credentials PHD APRN PSYCHIATRIC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 17 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 1750476412 NPPES
Massachusetts Other PN0824 BLUE SHIELD

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