Ambrose, Rita Lee

Ambrose, Rita Lee is an sole proprietor health care provider with primary practice located at 21 Walden Square Road Unit, 688 MA 02140-3434. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Ambrose, Rita Lee can be contacted via phone (617) 955-2335.

Contact Information

Primary practice address
21 Walden Square Road Unit 688 MA 02140-3434
Phone: (617) 955-2335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X EIN 11.3677013 Florida
Other Service Providers / Specialist 174400000X 113677013 Florida
Other Service Providers / Specialist 174400000X 11.3677013 Florida

Profile Details

NPI number 1144462664
LBN Legal business name Ambrose, Rita Lee
Credentials SPECIALIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2009
Last updated Dec 31st, 2019 - about 6 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 1144462664 NPPES
Florida Other 113677013 SPECIALIST
Florida MEDICAID 113677013 SPECIALIST
Florida MEDICAID 1144462664 SPECIALIST

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