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Contact Information

NANCY J WILDE, MST
105 CHESTNUT ST. AT NEEDHAM FAMILY CHIRO.
SUITE 35
NEEDHAM, MA02492
 Phone: 781-444-5144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Massage Therapist

225700000X
Indicates primary specialty

NPI Profile & details for NANCY J WILDE · (Female)

NPI # 1407280100
Status Active
Credentials MST
Entity Individual
Enumeration date 08/29/2013
Last updated 08/29/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 2346
Hospital affiliation(s) Not Available
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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