Repassy, Trista N

Repassy, Trista N is an sole proprietor health care provider with primary practice located at 190 N Main St First Floor, Natick MA 01760-2057. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Repassy, Trista N can be contacted via phone (508) 655-2555.

Contact Information

Primary practice address
190 N Main St First Floor Natick MA 01760-2057
Fax: (508) 655-2596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 216066 Massachusetts

Profile Details

NPI number 1073560769
LBN Legal business name Repassy, Trista N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2006
Last updated Feb 24th, 2012 - about 12 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 1073560769 NPPES
Massachusetts MEDICAID 9773894

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