Cresta, Richard J
Cresta, Richard J is an sole proprietor health care provider with primary practice located at 150 Orleans St 402, East Boston MA 02128-2105. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cresta, Richard J can be contacted via phone (617) 763-6749.Contact Information
Primary practice address
150 Orleans St 402
East Boston MA 02128-2105
Phone: (617) 763-6749
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1029643 | Massachusetts |
Profile Details
| NPI number | 1710013420 |
|---|---|
| LBN Legal business name | Cresta, Richard J |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 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 | 1710013420 | NPPES |
| Massachusetts | MEDICAID | 1890093 |
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