National Provider Identifier Database

INDEPENDENCE ASSOCIATES INC
Voluntary or Charitable


Contact Information

INDEPENDENCE ASSOCIATES, INC.
141 MAIN ST FL 1
BROCKTON, MA02301-4012
Phone: 508-583-2166
Fax: 508-583-2165
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for INDEPENDENCE ASSOCIATES, INC.

NPI Number 1124238324
Legal business name
LBN
INDEPENDENCE ASSOCIATES, INC.
Authorized official CONSTANCE GALLANT - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 5800153

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.

Reviews for INDEPENDENCE ASSOCIATES, INC.

There are currently no reviews for INDEPENDENCE ASSOCIATES, INC.


NPIdb - Home
v2.201