Acosta, Andrew

Acosta, Andrew is an individual health care provider with primary practice located at 10 Meadowbrook Rd , Brockton MA 02301-7122. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Acosta, Andrew can be contacted via phone (774) 300-7200.

Contact Information

Primary practice address
10 Meadowbrook Rd Brockton MA 02301-7122
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 043357938 Massachusetts

Profile Details

NPI number 1659735025
LBN Legal business name Acosta, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2016
Last updated Apr 11th, 2016 - about 9 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 1659735025 NPPES
Massachusetts Other 1518996354 HIGH POINT TREATMENT CENTER

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