Craven, Amy Beth
Craven, Amy Beth is an individual health care provider with primary practice located at 1183 Main St , Worcester MA 01603-2012. 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. Craven, Amy Beth can be contacted via phone (508) 986-9480.Contact Information
Primary practice address
1183 Main St
Worcester MA 01603-2012
Phone: (508) 986-9480
Fax: (508) 796-2273
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 21320 | Massachusetts |
Profile Details
| NPI number | 1194438598 |
|---|---|
| LBN Legal business name | Craven, Amy Beth |
| Credentials | LADC I |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 30th, 2022 |
| Last updated | Dec 30th, 2022 - about 4 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 | 1194438598 | NPPES |
| Massachusetts | MEDICAID | 1144769167 |
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