Pomerleau, Betty Ann
Pomerleau, Betty Ann is an individual health care provider with primary practice located at 80 Beharrell St # 80A , Concord MA 01742-1739. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Pomerleau, Betty Ann can be contacted via phone (781) 259-9292.Contact Information
Primary practice address
80 Beharrell St # 80A
Concord MA 01742-1739
Phone: (781) 259-9292
Fax: (781) 259-0747
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 80118 | Massachusetts |
Profile Details
NPI number | 1811972821 |
---|---|
LBN Legal business name | Pomerleau, Betty Ann |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 13th, 2005 |
Last updated | Feb 16th, 2021 - about 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1811972821 | NPPES |
Massachusetts | Other | J30896 | BLUE CROSS |
Massachusetts | Other | 696588 | BLUE CROSS |
Massachusetts | MEDICAID | 3193501 | BLUE CROSS |
Massachusetts | Other | 080118 | BLUE CROSS |
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