Northridge, John Augustus
Northridge, John Augustus is an individual health care provider with primary practice located at 58 Old Colony Ave , South Boston MA 02127-2406. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Northridge, John Augustus can be contacted via phone (617) 268-1700.Contact Information
Primary practice address
58 Old Colony Ave
South Boston MA 02127-2406
Phone: (617) 268-1700
Fax: (617) 268-1991
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 105237 | Massachusetts |
Profile Details
| NPI number | 1174586168 |
|---|---|
| LBN Legal business name | Northridge, John Augustus |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 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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