Branyon, Sharnelle
Branyon, Sharnelle is an individual health care provider with primary practice located at 6 Edgerly Pl Fl 3 , Boston MA 02116-5327. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Branyon, Sharnelle can be contacted via phone (617) 861-0370.Contact Information
Primary practice address
6 Edgerly Pl Fl 3
Boston MA 02116-5327
Phone: (617) 861-0370
Fax: (617) 249-1937
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1225 | Connecticut |
Profile Details
| NPI number | 1760928519 |
|---|---|
| LBN Legal business name | Branyon, Sharnelle |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2017 |
| Last updated | May 1st, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760928519 | NPPES |
| Connecticut | MEDICAID | 008022622 | |
| Connecticut | MEDICAID | 008001325 | |
| Connecticut | MEDICAID | 004082260 |
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