Vanelli, Mark R
Vanelli, Mark R is an sole proprietor health care provider with primary practice located at 21 Longmeadow Rd Moak Associates, Westborough MA 01581-2419. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Vanelli, Mark R can be contacted via phone (508) 898-8650.Contact Information
Primary practice address
21 Longmeadow Rd Moak Associates
Westborough MA 01581-2419
Phone: (508) 898-8650
Fax: (508) 870-9793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 60076 | Massachusetts |
Profile Details
| NPI number | 1447268222 |
|---|---|
| LBN Legal business name | Vanelli, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 4th, 2006 |
| Last updated | May 2nd, 2008 - about 18 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 | 1447268222 | NPPES |
| Massachusetts | Other | 15-00999 | EVERCARE |
| Massachusetts | Other | J09205 | EVERCARE |
| Massachusetts | MEDICAID | 3056244 | EVERCARE |
| Massachusetts | Other | 776748 | EVERCARE |
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