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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184725038 NPPES
Massachusetts Other S400469060 MEDICARE
Massachusetts MEDICAID 110020132A MEDICARE

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