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
Fax: (781) 259-0747
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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