Betancourt, Ana

Betancourt, Ana is an sole proprietor health care provider with primary practice located at 1 Monmouth Sq , East Boston MA 02128-1319. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Betancourt, Ana can be contacted via phone (617) 569-4561.

Contact Information

Primary practice address
1 Monmouth Sq East Boston MA 02128-1319
Phone: (617) 569-4561
Fax: (617) 568-9778
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 4712 Massachusetts

Profile Details

NPI number 1801927249
LBN Legal business name Betancourt, Ana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Jul 8th, 2007 - about 17 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 1801927249 NPPES
Massachusetts Other LM1187 BLUE CROSS BLUE SHIELD

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