Parker, Stephen William

Parker, Stephen William is an individual health care provider with primary practice located at 55 Fruit St Wac 828, Boston MA 02114-2696. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Parker, Stephen William can be contacted via phone (617) 726-3543.

Contact Information

Primary practice address
55 Fruit St Wac 828 Boston MA 02114-2696
Fax: (617) 724-0895
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 32307 Massachusetts

Profile Details

NPI number 1366432536
LBN Legal business name Parker, Stephen William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 8th, 2007 - about 18 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 1366432536 NPPES
Massachusetts Other 700908 TUFTS HEALTH PLAN
Massachusetts MEDICAID 2007576 TUFTS HEALTH PLAN
Massachusetts Other M08161 TUFTS HEALTH PLAN

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