Gofstein, Mark Howard
Gofstein, Mark Howard is an sole proprietor health care provider with primary practice located at 111 Everett Ave Suite 2B, Chelsea MA 02150-2385. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gofstein, Mark Howard can be contacted via phone (617) 889-1545.Contact Information
Primary practice address
111 Everett Ave Suite 2B
Chelsea MA 02150-2385
Phone: (617) 889-1545
Fax: (617) 889-1545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1110 | Massachusetts |
Profile Details
| NPI number | 1588733927 |
|---|---|
| LBN Legal business name | Gofstein, Mark Howard |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1588733927 | NPPES |
| Massachusetts | Other | 1M1221 | BLUE CROSSBLUESHIELD |
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