Avery, Amy Lee
Avery, Amy Lee is an sole proprietor health care provider with primary practice located at 96 Greenwood Pl. , Gardner MA 01440-2861. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Avery, Amy Lee can be contacted via phone (978) 798-0058.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Massachusetts |
Profile Details
| NPI number | 1992252415 |
|---|---|
| LBN Legal business name | Avery, Amy Lee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 1st, 2016 |
| Last updated | Mar 2nd, 2023 - about last year |
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 | 1992252415 | NPPES |
| Massachusetts | MEDICAID | 1992252415 |
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