Lattanzi, Nicholas

Lattanzi, Nicholas is an individual health care provider with primary practice located at 1582 Centre St , Roslindale MA 02131-1912. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Lattanzi, Nicholas can be contacted via phone (617) 308-4896.

Contact Information

Primary practice address
1582 Centre St Roslindale MA 02131-1912
Phone: (617) 308-4896
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1922345172
LBN Legal business name Lattanzi, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2013
Last updated Jan 8th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922345172 NPPES
Massachusetts MEDICAID 110026265E

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