Botelho, Daedre L

Botelho, Daedre L is an individual health care provider with primary practice located at 651 Orchard St Suite 206, New Bedford MA 02744-1008. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Botelho, Daedre L can be contacted via phone (508) 991-8400.

Contact Information

Primary practice address
651 Orchard St Suite 206 New Bedford MA 02744-1008
Phone: (508) 991-8400
Fax: (508) 991-8788
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2462 Massachusetts

Profile Details

NPI number 1154410405
LBN Legal business name Botelho, Daedre L
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
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 1154410405 NPPES
Massachusetts MEDICAID 1613839

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