Waugh, Tina
Waugh, Tina is an individual health care provider with primary practice located at 38R Enon St , Beverly MA 01915-1166. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Waugh, Tina can be contacted via phone (978) 927-7727.Contact Information
Primary practice address
38R Enon St
Beverly MA 01915-1166
Phone: (978) 927-7727
Fax: (978) 927-4598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 158505 | Massachusetts |
Profile Details
| NPI number | 1174510382 |
|---|---|
| LBN Legal business name | Waugh, Tina |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | May 11th, 2009 - about 16 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 | 1174510382 | NPPES |
| Massachusetts | MEDICAID | 0105953 |
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