Wisler, Martha Jane

Wisler, Martha Jane is an individual health care provider with primary practice located at 43 Garrison Rd , Brookline MA 02445-4445. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wisler, Martha Jane can be contacted via phone (617) 277-8107.

Contact Information

Primary practice address
43 Garrison Rd Brookline MA 02445-4445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1030147 Massachusetts

Profile Details

NPI number 1972576684
LBN Legal business name Wisler, Martha Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Nov 29th, 2011 - about 13 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 1972576684 NPPES
Massachusetts Other P10297 BLUE CROSS/BLUE SHIELD

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