Alemayheu, Samuel D
Alemayheu, Samuel D is an individual health care provider with primary practice located at 73 Princeton St Ste 307 , North Chelmsford MA 01863-1581. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Alemayheu, Samuel D can be contacted via phone (978) 677-7823.Contact Information
Primary practice address
73 Princeton St Ste 307
North Chelmsford MA 01863-1581
Phone: (978) 677-7823
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1053659920 |
|---|---|
| LBN Legal business name | Alemayheu, Samuel D |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Feb 23rd, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053659920 | NPPES |
| Massachusetts | MEDICAID | 12345 |
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