Active NPIIndividual provider

Mr. William Giannouloudis

Community Health Worker in Brockton, Massachusetts

NPI Number1568818474
Practice location
103 Commercial St, Brockton, MA 02302-3101
Fax
—
Last updated
August 27, 2020

William Giannouloudis is a Community Health Worker based in Brockton, MA. William Giannouloudis practices in Brockton, MA. The NPI Number for William Giannouloudis is 1568818474 and holds a License No. S15309944 (MA). The current practice location address for William Giannouloudis is 103 Commercial St, Brockton, MA 02302-3101 and can be reached out via phone at 508-521-2200.

Provider Profile Details

NPI Number
1568818474
Provider Name
William Giannouloudis
Provider Entity Type
Individual
Gender
Male
Address
103 Commercial St, Brockton, MA 02302-3101
Phone Number
508-521-2200
Primary Taxonomy
Community Health Worker · 172V00000X
Sole Proprietor
No
Provider Enumeration Date
May 10, 2016
Last Update Date
August 27, 2020
Certification Date
August 27, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
103 Commercial St
Brockton, MA 02302-3101
Zip
02302-3101
Phone Number
508-521-2200
Brockton, MA 02302Get directions →

Provider Business Mailing Address Details

Address
1410 West St
Mansfield, MA 02048-1022
City
Mansfield
State
MA
Zip
02048-1022
Phone Number
508-338-7726

License Information

License Number (1)
S15309944
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
Taxonomy (2)
Community Health Worker · 172V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. William Giannouloudis?

The NPI number of Mr. William Giannouloudis is 1568818474. It was assigned on May 10, 2016 and is currently active in the NPPES registry.

What is the specialty of Mr. William Giannouloudis?

Mr. William Giannouloudis is registered under the primary taxonomy Community Health Worker (code 172V00000X), licensed in MA under license number S15309944.

Where does Mr. William Giannouloudis practice?

The practice location is 103 Commercial St, Brockton, MA 02302-3101. The office can be reached at 508-521-2200 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1568818474 directly on the NPPES registry website.

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