Gardner, Olga

Gardner, Olga is an individual health care provider with primary practice located at 10 Center St , Chicopee MA 01013-2680. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Gardner, Olga can be contacted via phone (413) 437-9157.

Contact Information

Primary practice address
10 Center St Chicopee MA 01013-2680
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1033497680
LBN Legal business name Gardner, Olga
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2011
Last updated Nov 16th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033497680 NPPES
Massachusetts MEDICAID 1307576
Massachusetts MEDICAID 1303295
Massachusetts Other M18463

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