Gorman, Jared L
Gorman, Jared L is an individual health care provider with primary practice located at 41 Pacella Park Dr , Randolph MA 02368-1755. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Gorman, Jared L can be contacted via phone (781) 440-0400.Contact Information
Primary practice address
41 Pacella Park Dr
Randolph MA 02368-1755
Phone: (781) 440-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1952159808 |
|---|---|
| LBN Legal business name | Gorman, Jared L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2024 |
| Last updated | May 7th, 2024 - about last year |
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 | 1952159808 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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