Destefino, Nicholas R

Destefino, Nicholas R is an individual health care provider with primary practice located at 330 Brookline Ave , Boston MA 02215-5491. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Destefino, Nicholas R can be contacted via phone (617) 632-9236.

Contact Information

Primary practice address
330 Brookline Ave Boston MA 02215-5491
Phone: (617) 632-9236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1578132023
LBN Legal business name Destefino, Nicholas R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2021
Last updated Jun 20th, 2021 - about 4 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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