Modlish, Nancyjo Khantzian

Modlish, Nancyjo Khantzian is an individual health care provider with primary practice located at 15 Bancroft Rd , Andover MA 01810-4119. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Modlish, Nancyjo Khantzian can be contacted via phone (978) 247-9500.

Contact Information

Primary practice address
15 Bancroft Rd Andover MA 01810-4119
Phone: (978) 247-9500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X 1018849 Massachusetts

Profile Details

NPI number 1386128577
LBN Legal business name Modlish, Nancyjo Khantzian
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2018
Last updated Sep 24th, 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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