Goncalves, Kevin Tristan

Goncalves, Kevin Tristan is an sole proprietor health care provider with primary practice located at 1 Kneeland St , Boston MA 02111-1527. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Goncalves, Kevin Tristan can be contacted via phone (617) 636-6828.

Contact Information

Primary practice address
1 Kneeland St Boston MA 02111-1527
Phone: (617) 636-6828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Massachusetts

Profile Details

NPI number 1316780737
LBN Legal business name Goncalves, Kevin Tristan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2024
Last updated Jun 13th, 2024 - about 2 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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