Boisseau, John L

Boisseau, John L is an individual health care provider with primary practice located at 190 Lenox St , Norwood MA 02062-3416. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Boisseau, John L can be contacted via phone (781) 769-8670.

Contact Information

Primary practice address
190 Lenox St Norwood MA 02062-3416
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 225680 Massachusetts

Profile Details

NPI number 1215090170
LBN Legal business name Boisseau, John L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Sep 4th, 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 1215090170 NPPES
Rhode Island MEDICAID JB62852

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