Guardia, Vincent Charles
Guardia, Vincent Charles is an individual health care provider with primary practice located at 947 Rt 6A , Yarmouth Port MA 02675. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Guardia, Vincent Charles can be contacted via phone (508) 362-3609.Contact Information
Primary practice address
947 Rt 6A
Yarmouth Port MA 02675
Phone: (508) 362-3609
Fax: (508) 362-3609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 112 | Massachusetts |
Profile Details
| NPI number | 1740317858 |
|---|---|
| LBN Legal business name | Guardia, Vincent Charles |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740317858 | NPPES |
| Massachusetts | MEDICAID | 1891596 |
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