Dostie, Michelle M
Dostie, Michelle M is an individual health care provider with primary practice located at 1111 Elm St Ste 34 , West Springfield MA 01089-1540. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Dostie, Michelle M can be contacted via phone (413) 734-0300.Contact Information
Primary practice address
1111 Elm St Ste 34
West Springfield MA 01089-1540
Phone: (413) 734-0300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
NPI number | 1669128302 |
---|---|
LBN Legal business name | Dostie, Michelle M |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2022 |
Last updated | Feb 22nd, 2022 - about 2 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 | 1669128302 | NPPES |
Massachusetts | MEDICAID | 110026265E |
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