Bleu, Edward
Bleu, Edward is an sole proprietor health care provider with primary practice located at 3 Winn St , Woburn MA 01801-2828. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bleu, Edward can be contacted via phone (781) 718-5258.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 501 | Massachusetts |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 501 | Massachusetts |
Profile Details
| NPI number | 1255641627 |
|---|---|
| LBN Legal business name | Bleu, Edward |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 19th, 2010 |
| Last updated | Oct 19th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255641627 | NPPES |
| Massachusetts | Other | VC6000076656 | COMMONWEALTH OF MASSACHUSETTS |
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