Bonafaccia, Claire E
Bonafaccia, Claire E is an sole proprietor health care provider with primary practice located at 2020 Centre St , West Roxbury MA 02132-3316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Bonafaccia, Claire E can be contacted via phone (781) 437-1323.Contact Information
Primary practice address
2020 Centre St
West Roxbury MA 02132-3316
Phone: (781) 437-1323
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
NPI number | 1558493411 |
---|---|
LBN Legal business name | Bonafaccia, Claire E |
Credentials | MSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558493411 | NPPES |
Massachusetts | MEDICAID | 1312677 | |
Massachusetts | Other | M18708 | |
Massachusetts | Other | 685661 |
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