Goncalo, Mary

Goncalo, Mary is an sole proprietor health care provider with primary practice located at 101 Sullivan Dr , Fall River MA 02721-6812. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Goncalo, Mary can be contacted via phone (774) 644-5629.

Contact Information

Primary practice address
101 Sullivan Dr Fall River MA 02721-6812
Phone: (774) 644-5629
Fax: (508) 678-8100
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 197997 Massachusetts

Profile Details

NPI number 1316032774
LBN Legal business name Goncalo, Mary
Credentials RN, MS, CS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated May 15th, 2023 - 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 1316032774 NPPES
Rhode Island Other 410198-001 BLUE CHIP
Rhode Island Other PN0790 BLUE CHIP
Rhode Island Other 000000024517 BLUE CHIP
Rhode Island Other 103300 BLUE CHIP
Rhode Island MEDICAID 11089087A BLUE CHIP
Rhode Island Other 60054 BLUE CHIP
Rhode Island MEDICAID 1894480 BLUE CHIP
Rhode Island Other 214375 BLUE CHIP
Rhode Island Other 585968000 BLUE CHIP

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