Naideth, Nell Rae

Naideth, Nell Rae is an sole proprietor health care provider with primary practice located at 285 Main St , Fitchburg MA 01420-4303. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Naideth, Nell Rae can be contacted via phone (978) 342-1837.

Contact Information

Primary practice address
285 Main St Fitchburg MA 01420-4303
Fax: (978) 345-7751
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3334 Massachusetts

Profile Details

NPI number 1154324309
LBN Legal business name Naideth, Nell Rae
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2005
Last updated Sep 23rd, 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 1154324309 NPPES
Massachusetts Other W20145 BLUE CROSS
Massachusetts MEDICAID 110012083/A BLUE CROSS

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