Ravello, Elicia Lauren

Ravello, Elicia Lauren is an sole proprietor health care provider with primary practice located at 11 Bradstreet Ave , Boston MA 02131-3823. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Ravello, Elicia Lauren can be contacted via phone (617) 792-4494.

Contact Information

Primary practice address
11 Bradstreet Ave Boston MA 02131-3823
Phone: (617) 792-4494
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4030878 Massachusetts

Profile Details

NPI number 1225357999
LBN Legal business name Ravello, Elicia Lauren
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2010
Last updated May 20th, 2010 - about 15 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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