Churchill, Jo Ann
Churchill, Jo Ann is an individual health care provider with primary practice located at 77 Mill St Suite 251, Westfield MA 01085-4598. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Churchill, Jo Ann can be contacted via phone (413) 568-6141.Contact Information
Primary practice address
77 Mill St Suite 251
Westfield MA 01085-4598
Phone: (413) 568-6141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1669595500 |
|---|---|
| LBN Legal business name | Churchill, Jo Ann |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 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 | 1669595500 | NPPES |
| Massachusetts | MEDICAID | 1300881 | |
| Massachusetts | Other | 0300010 |
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