Jorgensen-Perry, Andrea Lynn

Jorgensen-Perry, Andrea Lynn is an sole proprietor health care provider with primary practice located at 85 Glenellen Rd , West Roxbury MA 02132-5107. She recently has only one registered license in Other Service Providers / Lactation Consultant, Non-RN, which is considered as her primary health care specialty. Jorgensen-Perry, Andrea Lynn can be contacted via phone (978) 360-1009.

Contact Information

Primary practice address
85 Glenellen Rd West Roxbury MA 02132-5107
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Lactation Consultant, Non-RN 174N00000X Massachusetts

Profile Details

NPI number 1902305667
LBN Legal business name Jorgensen-Perry, Andrea Lynn
Credentials IBCLC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2018
Last updated Feb 8th, 2018 - about 6 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 1902305667 NPPES
Other L-33942 IBLCE

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