Abraham, Elonzo Stafon
Abraham, Elonzo Stafon is an individual health care provider with primary practice located at 99 Topeka St , Boston MA 02118-2717. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Abraham, Elonzo Stafon can be contacted via phone (617) 442-1499.Contact Information
Primary practice address
99 Topeka St
Boston MA 02118-2717
Phone: (617) 442-1499
Fax: (617) 442-1660
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0902231 | South Carolina |
Profile Details
| NPI number | 1609189760 |
|---|---|
| LBN Legal business name | Abraham, Elonzo Stafon |
| Credentials | M.ED, CACI |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2010 |
| Last updated | Jul 19th, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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