Boguslaw, Nicholle

Boguslaw, Nicholle is an individual health care provider with primary practice located at 1 Kelley Dr , Coal Township PA 17866-1020. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boguslaw, Nicholle can be contacted via phone (570) 644-7890.

Contact Information

Primary practice address
1 Kelley Dr Coal Township PA 17866-1020
Phone: (570) 644-7890
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA055934 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X OA002976 Pennsylvania

Profile Details

NPI number 1689098931
LBN Legal business name Boguslaw, Nicholle
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2014
Last updated Feb 6th, 2014 - about 10 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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