Mckenna, Peter Richard

Mckenna, Peter Richard is an individual health care provider with primary practice located at 21 Culley St , Fitchburg MA 01420-3509. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mckenna, Peter Richard can be contacted via phone (978) 790-8236.

Contact Information

Primary practice address
21 Culley St Fitchburg MA 01420-3509
Phone: (978) 790-8236
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1379 Massachusetts

Profile Details

NPI number 1306240221
LBN Legal business name Mckenna, Peter Richard
Credentials LADC-1
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2014
Last updated Dec 1st, 2015 - about 11 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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