Reidy, Jennifer Ann
Reidy, Jennifer Ann is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Reidy, Jennifer Ann can be contacted via phone (508) 334-8630.Contact Information
Primary practice address
55 Lake Ave N
Worcester MA 01655-0002
Phone: (508) 334-8630
Fax: (774) 441-6710
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 223107 | Massachusetts |
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | 223107 | Massachusetts |
Profile Details
| NPI number | 1962416628 |
|---|---|
| LBN Legal business name | Reidy, Jennifer Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Dec 15th, 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 | 1962416628 | NPPES |
| Massachusetts | Other | 043024278 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 043024278 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 043024278 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 115260 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 96589101 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 043024278 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 1160226 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 494604 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 93380 | FIRST HEALTH/HCVM |
| Massachusetts | Other | AA55643 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 043024278 | FIRST HEALTH/HCVM |
| Massachusetts | Other | 01-04959 | FIRST HEALTH/HCVM |
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