Zielke, Alfred R.

Zielke, Alfred R. is an sole proprietor health care provider with primary practice located at 397 High St , Medford MA 02155-3606. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Zielke, Alfred R. can be contacted via phone (781) 395-7466.

Contact Information

Primary practice address
397 High St Medford MA 02155-3606
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LICSW #107287 Massachusetts

Profile Details

NPI number 1730222639
LBN Legal business name Zielke, Alfred R.
Credentials LICSW, PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730222639 NPPES
Massachusetts Other PO6628 BLUE CROSS BLUE SHIELD MA

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