Boateng, Samuel

Boateng, Samuel is an individual health care provider with primary practice located at 999 Dalton Ave , Pittsfield MA 01201-2903. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Boateng, Samuel can be contacted via phone (413) 448-6231.

Contact Information

Primary practice address
999 Dalton Ave Pittsfield MA 01201-2903
Phone: (413) 448-6231
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0415163 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2316205 Massachusetts

Profile Details

NPI number 1790162527
LBN Legal business name Boateng, Samuel
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2015
Last updated Feb 9th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790162527 NPPES
Massachusetts MEDICAID 1790162527

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