Nolan-Stack, Elizabeth Jean

Nolan-Stack, Elizabeth Jean is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730-1406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Nolan-Stack, Elizabeth Jean can be contacted via phone (781) 761-5077.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730-1406
Phone: (781) 761-5077
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1669746244
LBN Legal business name Nolan-Stack, Elizabeth Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 29th, 2012
Last updated Nov 4th, 2020 - about 4 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 1669746244 NPPES
Massachusetts Other M18633 BCBS
Massachusetts Other 1303287 BCBS
Massachusetts MEDICAID 1303287 BCBS
Massachusetts Other 99618201 BCBS
Massachusetts Other 042611055 BCBS
Massachusetts Other 1004745 BCBS
Massachusetts Other 0000023532 BCBS

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