Phelan, Lorae D.

Phelan, Lorae D. is an sole proprietor health care provider with primary practice located at 110 Great Rd Suite 205, Bedford MA 01730-2729. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Phelan, Lorae D. can be contacted via phone (617) 529-7772.

Contact Information

Primary practice address
110 Great Rd Suite 205 Bedford MA 01730-2729
Phone: (617) 529-7772
Fax: (781) 687-2018
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 163625 Massachusetts

Profile Details

NPI number 1609882380
LBN Legal business name Phelan, Lorae D.
Credentials RN,MS,CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 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 1609882380 NPPES
Massachusetts Other 163625 TUFTS INSURANCE
Massachusetts Other PN0762 TUFTS INSURANCE
Massachusetts Other 013504 TUFTS INSURANCE
Massachusetts Other 113345 TUFTS INSURANCE

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