Provider Demographics
NPI:1902575418
Name:ONSET FAMILY MEDICINE BETTER WAY PRIMARY CARE
Entity Type:Organization
Organization Name:ONSET FAMILY MEDICINE BETTER WAY PRIMARY CARE
Other - Org Name:BETTER WAY PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:KRIEHN
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:508-789-6399
Mailing Address - Street 1:191 MAIN ST STE 213
Mailing Address - Street 2:
Mailing Address - City:WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02571-2166
Mailing Address - Country:US
Mailing Address - Phone:508-789-6399
Mailing Address - Fax:
Practice Address - Street 1:191 MAIN ST STE 213
Practice Address - Street 2:
Practice Address - City:WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02571-2166
Practice Address - Country:US
Practice Address - Phone:508-789-6399
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110127283AMedicaid
MA112300Medicaid