Rivard, Samantha
Rivard, Samantha is an individual health care provider with primary practice located at 725 Albany Street, Suite 6B Shapiro Bldg., Boston MA 02118. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is her primary health care specialty. Rivard, Samantha can be contacted via phone (617) 414-8054.Contact Information
Primary practice address
725 Albany Street, Suite 6B Shapiro Bldg.
Boston MA 02118
Phone: (617) 414-8054
Fax: (617) 414-8055
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 1020656 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1020656 | Massachusetts |
Profile Details
| NPI number | 1184073975 |
|---|---|
| LBN Legal business name | Rivard, Samantha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2016 |
| Last updated | Jul 18th, 2024 - about 2 months 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 | 1184073975 | NPPES |
| Massachusetts | MEDICAID | 110202679A |
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