Shore-Suslowitz, Paul David
Shore-Suslowitz, Paul David is an sole proprietor health care provider with primary practice located at 175 Dwight Rd Ste 303 , Longmeadow MA 01106-1761. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Shore-Suslowitz, Paul David can be contacted via phone (413) 567-9993.Contact Information
Primary practice address
175 Dwight Rd Ste 303
Longmeadow MA 01106-1761
Phone: (413) 567-9993
Fax: (413) 567-9993
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2521 | Massachusetts |
Profile Details
| NPI number | 1871652156 |
|---|---|
| LBN Legal business name | Shore-Suslowitz, Paul David |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871652156 | NPPES |
| Massachusetts | MEDICAID | 1859480 |
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