Crockett, Brian P

Crockett, Brian P is an sole proprietor health care provider with primary practice located at 66 Main St , Taunton MA 02780-2777. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Crockett, Brian P can be contacted via phone (508) 880-1598.

Contact Information

Primary practice address
66 Main St Taunton MA 02780-2777
Phone: (508) 880-1598
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 2363 Massachusetts

Profile Details

NPI number 1376848309
LBN Legal business name Crockett, Brian P
Credentials LADC I
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2011
Last updated Jan 24th, 2011 - about 14 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.

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