Agustynowicz, Sean

Agustynowicz, Sean is an individual health care provider with primary practice located at 1111 Elm St Suite 7, West Springfield MA 01089-1782. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Agustynowicz, Sean can be contacted via phone (413) 734-0800.

Contact Information

Primary practice address
1111 Elm St Suite 7 West Springfield MA 01089-1782
Phone: (413) 734-0800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1790235760
LBN Legal business name Agustynowicz, Sean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2016
Last updated Oct 13th, 2016 - about 9 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 1790235760 NPPES
Massachusetts MEDICAID 110026265E

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