Ivy Lynn Brackup is a Contractor in Wellesley, Massachusetts. Ivy Lynn Brackup practices all healthcare services and medical treatments related to Contractor. The NPI Number for Ivy Lynn Brackup is 1184691891. The last update date is 2011-09-23.
Ivy Lynn Brackup's current location address is 372 Washington St., Wellesley, Massachusetts. You can contact this provider via phone number 7812355200 and fax number 6173821101. The mailing address for Ivy Lynn Brackup is 372 Washington St., Wellesley, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivy Lynn Brackup |
|---|---|
| Address | 372 Washington St., Wellesley, Massachusetts |
| Phone Number | 7812355200 |
| Fax Number | 6173821101 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1184691891 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2011-09-23 |
Provider Mailing Address Detail
| Address | 372 Washington St. |
|---|---|
| City | Wellesley |
| State | Massachusetts (MA) |
| Post Code | 2481 |
| Phone Number | 7812355200 |
| Fax Number | 6173821101 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
|
Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3177190 | MA | -- |
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What is the Ivy Lynn Brackup's 1184691891?
The Ivy Lynn Brackup's NPI (National Provider Identifier) Number is 1184691891. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Ivy Lynn Brackup by the Centers for Medicare & Medicaid Services (CMS)?
The Ivy Lynn Brackup has been assigned the NPI (National Provider Identifier) 1184691891. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
What is the Ivy Lynn Brackup's specialty and taxonomy code?
The Ivy Lynn Brackup's specialty is Contractor, and the corresponding taxonomy code is 171W00000X.
When was the Ivy Lynn Brackup's 1184691891 issued?
The Ivy Lynn Brackup's 1184691891 was issued on 2006-03-01.
When was the information pertaining to Ivy Lynn Brackup most recently updated or revised?
The details related to Ivy Lynn Brackup, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-23.
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