Sosa, Juan Carlos
Sosa, Juan Carlos is an sole proprietor health care provider with primary practice located at 11 Green St , Jamaica Plain MA 02130-2588. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Sosa, Juan Carlos can be contacted via phone (617) 983-9698.Contact Information
Primary practice address
11 Green St
Jamaica Plain MA 02130-2588
Phone: (617) 983-9698
Fax: (617) 524-7610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1020773 | Massachusetts |
Profile Details
| NPI number | 1316000375 |
|---|---|
| LBN Legal business name | Sosa, Juan Carlos |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 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 | 1316000375 | NPPES |
| Massachusetts | MEDICAID | 1890581 |
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