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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558493411 NPPES
Massachusetts MEDICAID 1312677
Massachusetts Other M18708
Massachusetts Other 685661

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