National Provider Identifier Database

ALICE A FANNIN, PA – NPI #1649240896
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

ALICE A FANNIN, PA
630 PLANTATION ST
WORCESTER, MA01605
Phone: 508-595-2000
Fax: 508-853-7149
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X

* Indicates primary specialty

NPI Profile & details for ALICE A FANNIN

NPI Number 1649240896
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 01/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 1422
  • Other: 8301088 EVERCARE
  • Other: 53324 FALLON COMMUNITY HLTH PLN
  • Other: AP1638 MEDICARE B
  • Other: 970024208 RAILROAD MEDICARE
  • Other: 042472266 THREE RIVERS
Hospital affiliation n/a

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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