Awlachew, Shiferaw

Awlachew, Shiferaw is an sole proprietor health care provider with primary practice located at 14 Pleasant St , Everett MA 02149-2811. He recently has only one registered license in Dental Providers / Dental Assistant, which is considered as his primary health care specialty. Awlachew, Shiferaw can be contacted via phone (781) 300-1774.

Contact Information

Primary practice address
14 Pleasant St Everett MA 02149-2811
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X DA08481 Massachusetts

Profile Details

NPI number 1386277663
LBN Legal business name Awlachew, Shiferaw
Credentials ETC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2020
Last updated Feb 15th, 2020 - about 5 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 1386277663 NPPES
Massachusetts MEDICAID 451734099

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