Perez, Destiny Anne
Perez, Destiny Anne is an individual health care provider with primary practice located at 12 Methuen St , Lawrence MA 01840-1700. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Perez, Destiny Anne can be contacted via phone (978) 620-1250.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1649620642 |
|---|---|
| LBN Legal business name | Perez, Destiny Anne |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2016 |
| Last updated | Jun 21st, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649620642 | NPPES |
| Massachusetts | MEDICAID | 1154302586 |
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