Nevins, Amy Laura Kelleher

Nevins, Amy Laura Kelleher is an individual health care provider with primary practice located at 26 Middlebury Ln , Beverly MA 01915-1300. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Nevins, Amy Laura Kelleher can be contacted via phone (978) 927-0907.

Contact Information

Primary practice address
26 Middlebury Ln Beverly MA 01915-1300
Fax:
Website:

Health care specialties

Profile Details

NPI number 1255311411
LBN Legal business name Nevins, Amy Laura Kelleher
Credentials MS, PT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2006
Last updated Sep 17th, 2008 - about 16 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 1255311411 NPPES
Massachusetts MEDICAID 0705373

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