NPI Lookup

NPI Lookup from the NPI Registry — National Provider Identifier Database

IVY L BRACKUP, MD – NPI #1184691891
Contractor

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 modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).


Contact Information

IVY L BRACKUP, MD
372 WASHINGTON ST.
MARINO CENTER FOR INTEGRATIVE HEALTH
WELLESLEY, MA02481
 Phone: 781-235-5200
 Fax: 617-382-1101
 Website:
 

Taxonomy / Specialty

Taxonomy Code

Contractor

171W00000X
Indicates primary specialty
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NPI Information for IVY L BRACKUP · (Female)

NPI Number 1184691891
Credentials MD
Entity Individual
Enumeration date 03/01/2006
Last updated 09/23/2011 - About 3 years ago
Sole proprietor 1 No
Identifiers
MA Medicaid 3177190
MA Medicare (Unspecified) A23315
MA Medicare UPIN F70092
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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