Ambrose, Sandra A

Ambrose, Sandra A is an individual health care provider with primary practice located at 130 Quincy Ave , Brockton MA 02302-2803. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Ambrose, Sandra A can be contacted via phone (508) 941-6412.

Contact Information

Primary practice address
130 Quincy Ave Brockton MA 02302-2803
Fax: (508) 941-6413
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X 1312 Massachusetts

Profile Details

NPI number 1407918758
LBN Legal business name Ambrose, Sandra A
Credentials NUTRITIONIST
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated May 27th, 2020 - about 4 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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