<Unavail>

LBN: Northeastern University
<Unavail> is an health care organization with primary practice located at 30 Leon St 503 Behrakis Health Sciences Center, Boston MA 02115-5009. The organization recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Audiologist is the primary health care specialty. Northeastern University can be contacted via phone (617) 373-2492, or through Solomon, Samuel B via phone (617) 373-2597.

Contact Information

Primary practice address
30 Leon St 503 Behrakis Health Sciences Center Boston MA 02115-5009
Phone: (617) 373-2492
Fax: (671) 373-8756
Website:
Map and Directions
Authorized official contact:
Name: Solomon, Samuel B
Phone: (617) 373-2597

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 4AKD Massachusetts
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 4AKD Massachusetts

Profile Details

NPI number 1205066222
LBN Legal business name Northeastern University
DBA Doing business as <Unavail>
Authorized official Solomon, Samuel B
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 24th, 2009
Last updated Mar 1st, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205066222 NPPES
Massachusetts Other 03276401 MEDICARE PTAN

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