Ciccia, Loretta A
Ciccia, Loretta A is an sole proprietor health care provider with primary practice located at 12 Bennington St Floor 2, East Boston MA 02128. She recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as her primary health care specialty. Ciccia, Loretta A can be contacted via phone (617) 561-7600.Contact Information
Primary practice address
12 Bennington St Floor 2
East Boston MA 02128
Phone: (617) 561-7600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1699956664 |
|---|---|
| LBN Legal business name | Ciccia, Loretta A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2007 |
| Last updated | Nov 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699956664 | NPPES |
| Other | 9777881 | MASS HEALTH |
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