Bogal, Carolyn B
Bogal, Carolyn B is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Bogal, Carolyn B can be contacted via phone (508) 894-0400.Contact Information
Primary practice address
110 Liberty St
Brockton MA 02301
Phone: (508) 894-0400
Fax: (508) 894-0590
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | RN153493 | Massachusetts |
Profile Details
NPI number | 1184725038 |
---|---|
LBN Legal business name | Bogal, Carolyn B |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 25th, 2006 |
Last updated | Jun 26th, 2018 - about 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184725038 | NPPES |
Massachusetts | Other | S400469060 | MEDICARE |
Massachusetts | MEDICAID | 110020132A | MEDICARE |
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