Lavash, James M.
Lavash, James M. is an individual health care provider with primary practice located at 1500 Dorchester Ave , Dorchester MA 02122-1327. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Lavash, James M. can be contacted via phone (617) 825-5000.Contact Information
Primary practice address
1500 Dorchester Ave
Dorchester MA 02122-1327
Phone: (617) 825-5000
Fax: (617) 288-5991
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 111308 | Massachusetts |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 111308 | Massachusetts |
Profile Details
NPI number | 1922167089 |
---|---|
LBN Legal business name | Lavash, James M. |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 6th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1922167089 | NPPES |
Massachusetts | MEDICAID | 1303511 |
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