Poremba, Barbara A
Poremba, Barbara A is an individual health care provider with primary practice located at 77 Herrick St Ste 101, Beverly MA 01915-3012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Poremba, Barbara A can be contacted via phone (978) 927-4110.Contact Information
Primary practice address
77 Herrick St Ste 101
Beverly MA 01915-3012
Phone: (978) 927-4110
Fax: (978) 232-7057
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | NP114394 | Illinois |
Profile Details
| NPI number | 1639183924 |
|---|---|
| LBN Legal business name | Poremba, Barbara A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639183924 | NPPES |
| Massachusetts | Other | NP2265 | BS |
| Massachusetts | MEDICAID | 0703503 | BS |
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