Sylvia, Jack P
Sylvia, Jack P is an individual health care provider with primary practice located at 178 Pine Street , Fall River MA 02720. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Sylvia, Jack P can be contacted via phone (508) 678-0091.Contact Information
Primary practice address
178 Pine Street
Fall River MA 02720
Phone: (508) 678-0091
Fax: (508) 324-9002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 3028159 | Massachusetts |
Profile Details
| NPI number | 1184684060 |
|---|---|
| LBN Legal business name | Sylvia, Jack P |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184684060 | NPPES |
| Massachusetts | Other | 3028159 | LICENSE |
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