Smith, Adele M

Smith, Adele M is an individual health care provider with primary practice located at 77 Massachusetts Ave E23-395, Cambridge MA 02139-4301. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Smith, Adele M can be contacted via phone (617) 253-0556.

Contact Information

Primary practice address
77 Massachusetts Ave E23-395 Cambridge MA 02139-4301
Phone: (617) 253-0556
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 3058 Massachusetts

Profile Details

NPI number 1104993880
LBN Legal business name Smith, Adele M
Credentials RPT ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1104993880 NPPES
Massachusetts Other Y68212 BLUE CROSS BLUE SHIELD

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