Decrosta, Erin Summer

Decrosta, Erin Summer is an individual health care provider with primary practice located at 1044 Phillips Rd , New Bedford MA 02745-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Decrosta, Erin Summer can be contacted via phone (508) 441-7602.

Contact Information

Primary practice address
1044 Phillips Rd New Bedford MA 02745-1724
Phone: (508) 441-7602
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215304662
LBN Legal business name Decrosta, Erin Summer
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2015
Last updated Sep 1st, 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 1215304662 NPPES
Massachusetts MEDICAID 043357938

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