Carpenter, Willow Bough
Carpenter, Willow Bough is an individual health care provider with primary practice located at 14 Fordham Rd , Allston MA 02134-3006. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Carpenter, Willow Bough can be contacted via phone (617) 782-6460.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1356520050 |
|---|---|
| LBN Legal business name | Carpenter, Willow Bough |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 30th, 2007 |
| Last updated | Oct 30th, 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 | 1356520050 | NPPES |
| Massachusetts | MEDICAID | 1319744 | |
| Massachusetts | Other | 8411 | |
| Massachusetts | Other | 1001550 |
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