Ortiz, Juan A

Ortiz, Juan A is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. 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. Ortiz, Juan A can be contacted via phone (617) 442-8800.

Contact Information

Primary practice address
45 Dimock St Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 442-6268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1593 Massachusetts

Profile Details

NPI number 1699852392
LBN Legal business name Ortiz, Juan A
Credentials LADC-1 C.A.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Mar 11th, 2020 - about 6 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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