Sura, L Elizabeth

Sura, L Elizabeth is an individual health care provider with primary practice located at 147 Norman St , West Springfield MA 01089-5003. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Sura, L Elizabeth can be contacted via phone (413) 736-8329.

Contact Information

Primary practice address
147 Norman St West Springfield MA 01089-5003
Phone: (413) 736-8329
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1619273950
LBN Legal business name Sura, L Elizabeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2011
Last updated Feb 3rd, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1619273950 NPPES
Massachusetts MEDICAID 1303295
Massachusetts MEDICAID 1307576
Massachusetts Other M18463

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