Boisselle, Dolores R.

Boisselle, Dolores R. is an sole proprietor health care provider with primary practice located at One Broadway Suite 302, Elmwood Park NJ 07407. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Boisselle, Dolores R. can be contacted via phone (201) 773-8962.

Contact Information

Primary practice address
One Broadway Suite 302 Elmwood Park NJ 07407
Phone: (201) 773-8962
Fax: (201) 773-8963
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00011400 New Jersey
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 41YA00011400

Profile Details

NPI number 1851535934
LBN Legal business name Boisselle, Dolores R.
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2009
Last updated Apr 8th, 2024 - about last year

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 1851535934 NPPES
New Jersey MEDICAID 0974382

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