Perry, Jacob Ford

Perry, Jacob Ford is an individual health care provider with primary practice located at 12 Southern Ave , Dorchester MA 02124-2012. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Perry, Jacob Ford can be contacted via phone (617) 708-0870.

Contact Information

Primary practice address
12 Southern Ave Dorchester MA 02124-2012
Phone: (617) 708-0870
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1144855818
LBN Legal business name Perry, Jacob Ford
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2020
Last updated Mar 3rd, 2020 - about 5 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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