Amaral, Manobaldo Marcos
Amaral, Manobaldo Marcos is an sole proprietor health care provider with primary practice located at 390 Massachusetts Ave , Arlington MA 02474-6799. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Amaral, Manobaldo Marcos can be contacted via phone (857) 472-4512.Contact Information
Primary practice address
390 Massachusetts Ave
Arlington MA 02474-6799
Phone: (857) 472-4512
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 7884 | Massachusetts |
Profile Details
| NPI number | 1619053915 |
|---|---|
| LBN Legal business name | Amaral, Manobaldo Marcos |
| Credentials | PSYCHOLOGIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 29th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619053915 | NPPES |
| Massachusetts | Other | 463398 | PROVIDER |
| Massachusetts | MEDICAID | 0501565 | PROVIDER |
| Massachusetts | Other | 020595820-01 | PROVIDER |
| Massachusetts | Other | W 06139 | PROVIDER |
| Massachusetts | Other | 032608609 | PROVIDER |
| Massachusetts | Other | 456369000 | PROVIDER |
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