Bannister, Colleen Ada

Bannister, Colleen Ada is an individual health care provider with primary practice located at 491 Main St , Athol MA 01331-1846. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Bannister, Colleen Ada can be contacted via phone (978) 249-9490.

Contact Information

Primary practice address
491 Main St Athol MA 01331-1846
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1114304672
LBN Legal business name Bannister, Colleen Ada
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated May 4th, 2015 - about 9 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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