Makogonov, Nicholas

Makogonov, Nicholas is an individual health care provider with primary practice located at 4 Kinsman St , Beverly MA 01915-1819. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Makogonov, Nicholas can be contacted via phone (978) 867-0431.

Contact Information

Primary practice address
4 Kinsman St Beverly MA 01915-1819
Phone: (978) 867-0431
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1225638398
LBN Legal business name Makogonov, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Oct 28th, 2020 - about 5 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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