Velasquez, Fernando Luis
Velasquez, Fernando Luis is an individual health care provider with primary practice located at 210 Old Colony Ave , South Boston MA 02127-2413. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Velasquez, Fernando Luis can be contacted via phone (617) 268-5000.Contact Information
Primary practice address
210 Old Colony Ave
South Boston MA 02127-2413
Phone: (617) 268-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1319AD | Massachusetts |
Profile Details
| NPI number | 1467639351 |
|---|---|
| LBN Legal business name | Velasquez, Fernando Luis |
| Credentials | CADAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2008 |
| Last updated | Sep 20th, 2013 - about 11 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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