An, Eric

An, Eric is an individual health care provider with primary practice located at 66 Mds (Afmc) 90 Vandenberg Drive, Bldg 1900, Hanscom Afb MA 01731-2104. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. An, Eric can be contacted via phone (781) 225-6789.

Contact Information

Primary practice address
66 Mds (Afmc) 90 Vandenberg Drive, Bldg 1900 Hanscom Afb MA 01731-2104
Phone: (781) 225-6789
Fax: (781) 225-2576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1851640833
LBN Legal business name An, Eric
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2012
Last updated Apr 9th, 2018 - about 7 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 1851640833 NPPES
California MEDICAID 7068
California MEDICAID 7420

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