Divincenzo, Gene

Divincenzo, Gene is an sole proprietor health care provider with primary practice located at 230 Maple St , Holyoke MA 01040-5144. He recently has only one registered license in Nursing Service Providers / Community Health, which is considered as his primary health care specialty. Divincenzo, Gene can be contacted via phone (413) 420-2287.

Contact Information

Primary practice address
230 Maple St Holyoke MA 01040-5144
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X RN2261489 Massachusetts

Profile Details

NPI number 1326438417
LBN Legal business name Divincenzo, Gene
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 28th, 2015
Last updated Jan 28th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326438417 NPPES
Massachusetts MEDICAID 110027773

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