Chase, Annastasia Samoilov
Chase, Annastasia Samoilov is an individual health care provider with primary practice located at 7 Court St , Arlington MA 02476-4803. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Chase, Annastasia Samoilov can be contacted via phone (781) 483-3366.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7778 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 7778 | Massachusetts |
Profile Details
NPI number | 1548223167 |
---|---|
LBN Legal business name | Chase, Annastasia Samoilov |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 7th, 2006 |
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 | 1548223167 | NPPES |
Massachusetts | Other | 409331 | TUFTS |
Massachusetts | Other | Q04410 | TUFTS |
Massachusetts | Other | 016058 | TUFTS |
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