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Contact Information

CHRYSNELL DESTINA, EMT-B
137 SOMERVILLE AVE
SOMERVILLE, MA02143-3401
 Phone: 617-625-0126
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medical Technician, Basic

146N00000X
Indicates primary specialty

NPI Profile & details for CHRYSNELL DESTINA · (Male)

NPI # 1205626488
Status Active
Credentials EMT-B
Entity Individual
Enumeration date 05/09/2025
Last updated 05/09/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # E931160
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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