Medina, Julissa
Medina, Julissa is an individual health care provider with primary practice located at 1115 W Chestnut St , Brockton MA 02301-7501. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Medina, Julissa can be contacted via phone (915) 345-0787.Contact Information
Primary practice address
1115 W Chestnut St
Brockton MA 02301-7501
Phone: (915) 345-0787
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 1041S0200X |
Profile Details
| NPI number | 1174870380 |
|---|---|
| LBN Legal business name | Medina, Julissa |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 7th, 2012 |
| Last updated | Aug 7th, 2012 - about 14 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.
Popular Providers
-
Nnoli, Agunyenwa I
1115 W Chestnut St , Brockton MA 02301-7501 -
Grassow Grist, Erinn Dawn
1115 W Chestnut St , Brockton MA 02301-7501 -
Magdaleno, Norma
3045 N 1St Ave Ste A, Tucson AZ 85719-2560 -
Nelson, Frank
10 Meadowbrook Rd , Brockton MA 02301-7122 -
Nadolny, Wendy Ann
11 W Victory Way Ste 203 , Craig CO 81625 -
Leman, April
231 Main St Mspcc, 3Rd Floor, Brockton MA 02301-4342 -
Herdman, Shaylin Marie
231 Main St Fl 3 , Brockton MA 02301-4342 -
Chatkin, Mark
19 W 34Th St Penthouse, New York NY 10001-3006