Jean Charles, Samuelle A
Jean Charles, Samuelle A is an sole proprietor health care provider with primary practice located at 147 Clifton St Unit 2 , Malden MA 02148-2526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Jean Charles, Samuelle A can be contacted via phone (857) 389-4086.Contact Information
Primary practice address
147 Clifton St Unit 2
Malden MA 02148-2526
Phone: (857) 389-4086
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2291984 | Massachusetts |
Profile Details
| NPI number | 1174365118 |
|---|---|
| LBN Legal business name | Jean Charles, Samuelle A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2024 |
| Last updated | Jun 11th, 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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