Queenan, Evan Moran

Queenan, Evan Moran is an individual health care provider with primary practice located at 77 Warren St , Brighton MA 02135. 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. Queenan, Evan Moran can be contacted via phone (617) 254-1271.

Contact Information

Primary practice address
77 Warren St Brighton MA 02135
Phone: (617) 254-1271
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1790294981
LBN Legal business name Queenan, Evan Moran
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2017
Last updated Sep 20th, 2017 - about 9 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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