Stamoulos, Nicholas

Stamoulos, Nicholas is an individual health care provider with primary practice located at 104 Massachusetts Ave , Arlington MA 02474-8623. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Stamoulos, Nicholas can be contacted via phone (781) 641-4482.

Contact Information

Primary practice address
104 Massachusetts Ave Arlington MA 02474-8623
Phone: (781) 641-4482
Fax: (781) 641-4483
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1830 Massachusetts

Profile Details

NPI number 1831246875
LBN Legal business name Stamoulos, Nicholas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2007
Last updated Aug 10th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831246875 NPPES
Massachusetts Other 2276060 AETNA
Massachusetts Other Y36403 AETNA
Massachusetts MEDICAID 1612948 AETNA
Massachusetts Other 44-00106 AETNA
Massachusetts Other 001830 AETNA
Massachusetts Other 0024225 AETNA
Massachusetts Other 351956 AETNA

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