Acevedo, Manuel

Acevedo, Manuel is an individual health care provider with primary practice located at 120 Maple St , Springfield MA 01103-2203. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Acevedo, Manuel can be contacted via phone (413) 846-0445.

Contact Information

Primary practice address
120 Maple St Springfield MA 01103-2203
Phone: (413) 846-0445
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1699028506
LBN Legal business name Acevedo, Manuel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2012
Last updated Oct 17th, 2012 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699028506 NPPES
Massachusetts MEDICAID 1303295
Massachusetts MEDICAID 1307576
Massachusetts Other M18463

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