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
Phone: (617) 268-5000
Fax: (617) 268-5008
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891006177 | NPPES |
Massachusetts | Other | 1369 | LADCI |
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