Gonsalves, Clarence D

Gonsalves, Clarence D is an sole proprietor health care provider with primary practice located at 321 Blue Hill Ave , Boston MA 02121-4302. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gonsalves, Clarence D can be contacted via phone (617) 541-6859.

Contact Information

Primary practice address
321 Blue Hill Ave Boston MA 02121-4302
Phone: (617) 541-6859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X S71703937 Massachusetts

Profile Details

NPI number 1144496878
LBN Legal business name Gonsalves, Clarence D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 2nd, 2008
Last updated May 23rd, 2011 - about 15 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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