Eisa, Mohammed
Eisa, Mohammed is an sole proprietor health care provider with primary practice located at 759 Bennington St 1, Boston MA 02128-1133. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as his primary health care specialty. Eisa, Mohammed can be contacted via phone (804) 873-6581.Contact Information
Primary practice address
759 Bennington St 1
Boston MA 02128-1133
Phone: (804) 873-6581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X |
Profile Details
| NPI number | 1245609064 |
|---|---|
| LBN Legal business name | Eisa, Mohammed |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2015 |
| Last updated | Sep 22nd, 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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