Reiss, Marc D
Reiss, Marc D is an sole proprietor health care provider with primary practice located at 12 Methuen St , Lawrence MA 01840-1700. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Reiss, Marc D can be contacted via phone (978) 620-1770.Contact Information
Primary practice address
12 Methuen St
Lawrence MA 01840-1700
Phone: (978) 620-1770
Fax: (978) 687-1627
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 217870 | Massachusetts |
Profile Details
| NPI number | 1275856726 |
|---|---|
| LBN Legal business name | Reiss, Marc D |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2010 |
| Last updated | Mar 11th, 2010 - about 14 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 | 1275856726 | NPPES |
| Massachusetts | MEDICAID | 1154302586 |
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