Varonko, Wallace William
Varonko, Wallace William is an individual health care provider with primary practice located at 30 Taunton Greene Suite 5 , Taunton MA 02780. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Varonko, Wallace William can be contacted via phone (508) 880-6666.Contact Information
Primary practice address
30 Taunton Greene Suite 5
Taunton MA 02780
Phone: (508) 880-6666
Fax: (508) 880-6655
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 4573 | Massachusetts |
Profile Details
| NPI number | 1003916313 |
|---|---|
| LBN Legal business name | Varonko, Wallace William |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 9th, 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 | 1003916313 | NPPES |
| Massachusetts | MEDICAID | 1311778 |
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