D'Agostino, Desiree Kiehn

D'Agostino, Desiree Kiehn is an individual health care provider with primary practice located at 651 Boylston St Suite 2, Boston MA 02116-2846. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. D'Agostino, Desiree Kiehn can be contacted via phone (617) 859-9500.

Contact Information

Primary practice address
651 Boylston St Suite 2 Boston MA 02116-2846
Phone: (617) 859-9500
Fax: (617) 859-9595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1683 Massachusetts

Profile Details

NPI number 1346232550
LBN Legal business name D'Agostino, Desiree Kiehn
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 23rd, 2015 - about 11 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 1346232550 NPPES
Massachusetts MEDICAID 1610635

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