Altidor, Wibie S

Altidor, Wibie S is an sole proprietor health care provider with primary practice located at 165 Quincy St , Brockton MA 02302-2988. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Altidor, Wibie S can be contacted via phone (508) 897-2092.

Contact Information

Primary practice address
165 Quincy St Brockton MA 02302-2988
Phone: (508) 897-2092
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LN9400 Massachusetts

Profile Details

NPI number 1427560796
LBN Legal business name Altidor, Wibie S
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2017
Last updated Oct 26th, 2017 - about 7 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.

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