Trivers, Grace S

Trivers, Grace S is an sole proprietor health care provider with primary practice located at 73 Princeton St Suite 203, North Chelmsford MA 01863-1558. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Trivers, Grace S can be contacted via phone (978) 256-6579.

Contact Information

Primary practice address
73 Princeton St Suite 203 North Chelmsford MA 01863-1558
Fax: (978) 256-1943
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 119209 Massachusetts

Profile Details

NPI number 1306828512
LBN Legal business name Trivers, Grace S
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated May 18th, 2015 - about 9 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 1306828512 NPPES
Massachusetts Other 890000446 RAILROAD MEDICARE
Massachusetts Other 758727 RAILROAD MEDICARE
Massachusetts Other 4007530Y0MA02 RAILROAD MEDICARE
Massachusetts Other 043476807-08 RAILROAD MEDICARE
Massachusetts Other 162568 RAILROAD MEDICARE
Massachusetts MEDICAID 1851713 RAILROAD MEDICARE
Massachusetts Other PN0057 RAILROAD MEDICARE
Massachusetts Other 1008984 RAILROAD MEDICARE
Massachusetts Other 0022320 RAILROAD MEDICARE
Massachusetts Other 4339587 RAILROAD MEDICARE
Massachusetts Other 006475 RAILROAD MEDICARE
Massachusetts Other 1388318000 RAILROAD MEDICARE
Massachusetts Other 83-01340 RAILROAD MEDICARE

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