Gennaco, Vincent John
Gennaco, Vincent John is an sole proprietor health care provider with primary practice located at 6 Norman St , Salem MA 01970-3314. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Gennaco, Vincent John can be contacted via phone (978) 745-5114.Contact Information
Primary practice address
6 Norman St
Salem MA 01970-3314
Phone: (978) 745-5114
Fax: (781) 631-5537
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 359 | Massachusetts |
Profile Details
| NPI number | 1134164064 |
|---|---|
| LBN Legal business name | Gennaco, Vincent John |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jul 7th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134164064 | NPPES |
| Massachusetts | MEDICAID | 0503789 |
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