Dorn, John
Dorn, John is an sole proprietor health care provider with primary practice located at 480 Hawthorn St , North Dartmouth MA 02747-3729. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dorn, John can be contacted via phone (508) 990-0963.Contact Information
Primary practice address
480 Hawthorn St
North Dartmouth MA 02747-3729
Phone: (508) 990-0963
Fax: (508) 990-1176
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 601 | Massachusetts |
Profile Details
| NPI number | 1952351918 |
|---|---|
| LBN Legal business name | Dorn, John |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 21st, 2020 - about 6 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 | 1952351918 | NPPES |
| Massachusetts | MEDICAID | 110023602A |
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