Baisyat, Subha

Baisyat, Subha is an individual health care provider with primary practice located at 34 N Pearl St , Brockton MA 02301-1708. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Baisyat, Subha can be contacted via phone (508) 408-9200.

Contact Information

Primary practice address
34 N Pearl St Brockton MA 02301-1708
Phone: (508) 408-9200
Fax: (857) 241-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 278218 Massachusetts

Profile Details

NPI number 1750763116
LBN Legal business name Baisyat, Subha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2015
Last updated Dec 18th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1750763116 NPPES
Massachusetts MEDICAID 110154453A

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