Vorderstrasse, Tricia L
Vorderstrasse, Tricia L is an sole proprietor health care provider with primary practice located at 725 Timpany Blvd Suite 106, Gardner MA 01440-3453. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vorderstrasse, Tricia L can be contacted via phone (978) 632-8100.Contact Information
Primary practice address
725 Timpany Blvd Suite 106
Gardner MA 01440-3453
Phone: (978) 632-8100
Fax: (978) 632-8400
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 215822 | Massachusetts |
Profile Details
NPI number | 1619953247 |
---|---|
LBN Legal business name | Vorderstrasse, Tricia L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 15th, 2005 |
Last updated | Mar 16th, 2018 - about 6 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 | 1619953247 | NPPES |
Massachusetts | MEDICAID | 0187071 |
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