National Provider Identifier Database

NORTHEASTERN UNIVERSITY UNIVERSITY HEALTH COUNSELING SERVICES
Student Health


Contact Information

NORTHEASTERN UNIVERSITY, UNIVERSITY HEALTH & COUNSELING SERVICES
135 FORSYTH ST
360 HUNTINGTON AVE.
BOSTON, MA02115-5024
Phone: 617-373-2772
Fax:
Website:
Specialty Taxonomy Code
* Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for NORTHEASTERN UNIVERSITY, UNIVERSITY HEALTH & COUNSELING SERVICES

NPI Number 1619181880
Legal business name
LBN
NORTHEASTERN UNIVERSITY, UNIVERSITY HEALTH & COUNSELING SERVICES
Authorized official GAIRY HALL - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/09/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MA License #: 254638

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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