Gonsalves, Mark A
Gonsalves, Mark A is an individual health care provider with primary practice located at 200 Ter Heun Dr , Falmouth MA 02540-2525. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Gonsalves, Mark A can be contacted via phone (508) 540-6550.Contact Information
Primary practice address
200 Ter Heun Dr
Falmouth MA 02540-2525
Phone: (508) 540-6550
Fax: (508) 540-7480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1531 | Massachusetts |
Profile Details
| NPI number | 1891915666 |
|---|---|
| LBN Legal business name | Gonsalves, Mark A |
| Credentials | LADC 1 |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2007 |
| 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.
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