Medeiros, Kyle Joseph
Medeiros, Kyle Joseph is an sole proprietor health care provider with primary practice located at 77 Warren St Bldg 5 , Brighton MA 02135-3601. 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. Medeiros, Kyle Joseph can be contacted via phone (617) 254-1271.Contact Information
Primary practice address
77 Warren St Bldg 5
Brighton MA 02135-3601
Phone: (617) 254-1271
Fax: (617) 782-7668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1053802884 |
|---|---|
| LBN Legal business name | Medeiros, Kyle Joseph |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 29th, 2018 |
| Last updated | May 29th, 2018 - about 8 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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