Boczarski, Carol S

Boczarski, Carol S is an individual health care provider with primary practice located at 3471 Deerfield Ln Nw , Kennesaw GA 30144-1888. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Boczarski, Carol S can be contacted via phone (770) 792-5986.

Contact Information

Primary practice address
3471 Deerfield Ln Nw Kennesaw GA 30144-1888
Fax: (678) 290-0173
Website:

Profile Details

NPI number 1609833946
LBN Legal business name Boczarski, Carol S
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1609833946 NPPES
Other 52748023002 BC/BS
MEDICAID 0091987A BC/BS

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