Moran, Joanne

Moran, Joanne is an sole proprietor health care provider with primary practice located at 17 Henshaw St , Brighton MA 02135-2905. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Moran, Joanne can be contacted via phone (617) 782-0063.

Contact Information

Primary practice address
17 Henshaw St Brighton MA 02135-2905
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1019800 Massachusetts

Profile Details

NPI number 1306901558
LBN Legal business name Moran, Joanne
Credentials RN,LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1306901558 NPPES
Massachusetts Other 8332-01 PACIFICCARE
Massachusetts Other 718468 PACIFICCARE

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