Elizabeth Mary McDonnell, COSMETOLOGIST
Individual provider Active NPI Prosthetic/Orthotic Supplier · Clinton, MA
NPI 1457130643 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1457130643
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthetic/Orthotic Supplier 335E00000X
- Practice address
- 1175 Main St Ste 9
Clinton, MA 01510-1130 - Phone
- (978) 733-1126
- NPI assigned
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Yes |
Addresses
Primary practice location
1175 Main St Ste 9
Clinton, MA 01510-1130
Mailing address
1175 Main St Ste 9
Clinton, MA 01510-1130
Phone (978) 733-1126
Other providers in Clinton, MA
- Lisa A Legato
- Nicholas Lucier
- Mark S. Klein, MD, PA
- Maxi Drug Inc
- Susan Maxwell
- Norah E McNally
- Felicidad Gonzales Melquiades
- Kristin Anna Mikkelsen
- John B Mitchell
- Kiran Sanjay Naik
All providers in Clinton, MA · Prosthetic/Orthotic Supplier in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.