Distasio, Mary Ellen

Distasio, Mary Ellen is an individual health care provider with primary practice located at 500 Victory Rd , Quincy MA 02171-3139. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Distasio, Mary Ellen can be contacted via phone (617) 847-1950.

Contact Information

Primary practice address
500 Victory Rd Quincy MA 02171-3139
Phone: (617) 847-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1659563179
LBN Legal business name Distasio, Mary Ellen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Aug 1st, 2016 - about 9 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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