Wadsworth, Philip

Wadsworth, Philip is an sole proprietor health care provider with primary practice located at 6 Island Hill Ave Apt 412 , Malden MA 02148-2651. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Wadsworth, Philip can be contacted via phone (570) 561-4759.

Contact Information

Primary practice address
6 Island Hill Ave Apt 412 Malden MA 02148-2651
Phone: (570) 561-4759
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X DN1856641 Massachusetts
Dental Providers / General Practice 1223G0001X DN1856641 Massachusetts

Profile Details

NPI number 1972915726
LBN Legal business name Wadsworth, Philip
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 28th, 2014
Last updated Jul 9th, 2015 - about 10 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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