Prescott, Kristen M
Prescott, Kristen M is an individual health care provider with primary practice located at 874 Purchase St , New Bedford MA 02740-6232. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Prescott, Kristen M can be contacted via phone (508) 992-6553.Contact Information
Primary practice address
874 Purchase St
New Bedford MA 02740-6232
Phone: (508) 992-6553
Fax: (508) 990-7558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12361 | North Dakota |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 284305 | Massachusetts |
Profile Details
| NPI number | 1881640878 |
|---|---|
| LBN Legal business name | Prescott, Kristen M |
| Credentials | MD, IBCLC, FAAP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 11th, 2020 - about 4 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 | 1881640878 | NPPES |
| New Hampshire | Other | 01YP02463NH02 | ANTHEM |
| New Hampshire | MEDICAID | 30200835 | ANTHEM |
| New Hampshire | MEDICAID | 17085 | ANTHEM |
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