Poveromo, Ellen T

Poveromo, Ellen T is an individual health care provider with primary practice located at 100 Cummings Ctr Suite 121Q, Beverly MA 01915-6115. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Poveromo, Ellen T can be contacted via phone (978) 927-0907.

Contact Information

Primary practice address
100 Cummings Ctr Suite 121Q Beverly MA 01915-6115
Phone: (978) 927-0907
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5499 Massachusetts

Profile Details

NPI number 1174514467
LBN Legal business name Poveromo, Ellen T
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2005
Last updated Jan 5th, 2011 - about 13 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 1174514467 NPPES
Massachusetts MEDICAID 0395871

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