Bockstall, Katy E.

Bockstall, Katy E. is an individual health care provider with primary practice located at 732 Harrison Ave Fl Preston3 , Boston MA 02118-2309. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Bockstall, Katy E. can be contacted via phone (617) 638-7490.

Contact Information

Primary practice address
732 Harrison Ave Fl Preston3 Boston MA 02118-2309
Phone: (617) 638-7490
Fax: (617) 414-8742
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 274440 Massachusetts
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 274440 Massachusetts
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 274440 Massachusetts

Profile Details

NPI number 1952676058
LBN Legal business name Bockstall, Katy E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2012
Last updated Nov 28th, 2023 - about 2 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 1952676058 NPPES
Massachusetts MEDICAID 3115403
Massachusetts MEDICAID 110137795A

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