Augustin, Michenide

Augustin, Michenide is an sole proprietor health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as her primary health care specialty. Augustin, Michenide can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
1115 W Chestnut St Brockton MA 02301-7501
Phone: (508) 580-4691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1174960520
LBN Legal business name Augustin, Michenide
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2013
Last updated May 24th, 2013 - about 11 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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