Provider Demographics
NPI:1407836521
Name:SINCLAIR, TERRENCE DWIGHT (RNFA)
Entity Type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:DWIGHT
Last Name:SINCLAIR
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 KENDALL AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7413
Mailing Address - Country:US
Mailing Address - Phone:508-872-1305
Mailing Address - Fax:
Practice Address - Street 1:58 KENDALL AVE
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-7413
Practice Address - Country:US
Practice Address - Phone:508-872-1305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA127743163W00000X, 163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA163WR0006XOtherRNFA