Magnan, Thomas Edward

Magnan, Thomas Edward is an sole proprietor health care provider with primary practice located at 49 L St , South Boston MA 02127-1511. 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. Magnan, Thomas Edward can be contacted via phone (617) 268-5000.

Contact Information

Primary practice address
49 L St South Boston MA 02127-1511
Fax: (617) 268-5008
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1369 Massachusetts

Profile Details

NPI number 1891006177
LBN Legal business name Magnan, Thomas Edward
Credentials LADCI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2010
Last updated Jul 1st, 2010 - about 14 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 1891006177 NPPES
Massachusetts Other 1369 LADCI

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