Ba, Phalnarith

Ba, Phalnarith is an individual health care provider with primary practice located at 265 Beach St , Revere MA 02151-3131. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Interpreter. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ba, Phalnarith can be contacted via phone (617) 912-7732.

Contact Information

Primary practice address
265 Beach St Revere MA 02151-3131
Phone: (617) 912-7732
Fax: (781) 286-5636
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1114064656
LBN Legal business name Ba, Phalnarith
Credentials OUT REACH WORKER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 2007 - about 19 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 1114064656 NPPES
Massachusetts MEDICAID 1301659

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