Bly, Jonathan Allen

Bly, Jonathan Allen is an individual health care provider with primary practice located at 15 Mosgrove Ave , Roslindale MA 02131-1113. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bly, Jonathan Allen can be contacted via phone (617) 401-5892.

Contact Information

Primary practice address
15 Mosgrove Ave Roslindale MA 02131-1113
Phone: (617) 401-5892
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9047 Massachusetts

Profile Details

NPI number 1609232636
LBN Legal business name Bly, Jonathan Allen
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2016
Last updated Jan 6th, 2016 - about 10 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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