Chanel, Karlyne

Chanel, Karlyne is an individual health care provider with primary practice located at 180 Centre St , Brockton MA 02302-2733. 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. Chanel, Karlyne can be contacted via phone (508) 586-6300.

Contact Information

Primary practice address
180 Centre St Brockton MA 02302-2733
Phone: (508) 586-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1467028092
LBN Legal business name Chanel, Karlyne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2021
Last updated Jun 3rd, 2021 - about 5 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 1467028092 NPPES
Massachusetts MEDICAID 101YA0400X

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