Surette, Stanley P
Surette, Stanley P is an individual health care provider with primary practice located at 328 Shrewsbury St Ste 100, Worcester MA 01604-4613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Surette, Stanley P can be contacted via phone (508) 755-4861.Contact Information
Primary practice address
328 Shrewsbury St Ste 100
Worcester MA 01604-4613
Phone: (508) 755-4861
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 76499 | Massachusetts |
Profile Details
| NPI number | 1447241658 |
|---|---|
| LBN Legal business name | Surette, Stanley P |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Nov 30th, 2016 - about 8 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 | 1447241658 | NPPES |
| Massachusetts | MEDICAID | 3122093 |
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