Acevedo, Angelica

Acevedo, Angelica is an sole proprietor health care provider with primary practice located at 27 Congress St Ste 205-19 , Salem MA 01970-5595. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Behavioral Health & Social Service Providers / Clinical. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Acevedo, Angelica can be contacted via phone (617) 312-8563.

Contact Information

Primary practice address
27 Congress St Ste 205-19 Salem MA 01970-5595
Phone: (617) 312-8563
Fax: (978) 208-7021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 22171 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X 114052 Massachusetts

Profile Details

NPI number 1932124047
LBN Legal business name Acevedo, Angelica
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Aug 20th, 2019 - about 6 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 1932124047 NPPES
Massachusetts Other 000165502 MEDICARE IDENTIFICATION NUMBER
Massachusetts Other 70010000P09434 MEDICARE IDENTIFICATION NUMBER

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