Santana, Juan Carlos
Santana, Juan Carlos is an individual health care provider with primary practice located at 2155 Main St , Springfield MA 01104-3301. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Santana, Juan Carlos can be contacted via phone (413) 736-0395.Contact Information
Primary practice address
2155 Main St
Springfield MA 01104-3301
Phone: (413) 736-0395
Fax: (413) 734-1651
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 3680 | Puerto Rico |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 3680 | Puerto Rico |
Profile Details
NPI number | 1407282387 |
---|---|
LBN Legal business name | Santana, Juan Carlos |
Credentials | Master of Arts (MA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 23rd, 2013 |
Last updated | Jun 10th, 2016 - about 8 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 | 1407282387 | NPPES |
Massachusetts | Other | 1134107113 | NHP |
Massachusetts | Other | 997303 | NHP |
Massachusetts | Other | 71756 | NHP |
Massachusetts | Other | 1134107113 | NHP |
Massachusetts | Other | 12529 | NHP |
Massachusetts | Other | 1134107113 | NHP |
Massachusetts | Other | 042622756 | NHP |
Massachusetts | Other | 1134107113 | NHP |
Massachusetts | MEDICAID | 1307576 | NHP |
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