Ortiz Douglas, Maribel
Ortiz Douglas, Maribel is an sole proprietor health care provider with primary practice located at City Of Chicopee 80 Church Street, Chicopee MA 01020-0102. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Ortiz Douglas, Maribel can be contacted via phone (413) 594-3437.Contact Information
Primary practice address
City Of Chicopee 80 Church Street
Chicopee MA 01020-0102
Phone: (413) 594-3437
Fax: (413) 594-3500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X | 110430 | Massachusetts |
Profile Details
| NPI number | 1609358621 |
|---|---|
| LBN Legal business name | Ortiz Douglas, Maribel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2018 |
| Last updated | Sep 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609358621 | NPPES |
| Massachusetts | MEDICAID | 110025828C |
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