Boston, Elizabeth A

Boston, Elizabeth A is an individual health care provider with primary practice located at 278 Kenny Davis Blvd , Monticello KY 42633-9479. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Boston, Elizabeth A can be contacted via phone (844) 435-0900.

Contact Information

Primary practice address
278 Kenny Davis Blvd Monticello KY 42633-9479
Fax: (270) 858-4029
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 1173 Kentucky

Profile Details

NPI number 1710375803
LBN Legal business name Boston, Elizabeth A
Credentials LPCC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2014
Last updated Jul 13th, 2023 - about last year

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 1710375803 NPPES
Kentucky MEDICAID 7100322070
Kentucky Other 12784689

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