Boosahda, Stephanie Ellen
Boosahda, Stephanie Ellen is an sole proprietor health care provider with primary practice located at 654 Willow St Bass River, South Yarmouth MA 02664-5636. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Boosahda, Stephanie Ellen can be contacted via phone (508) 360-6227.Contact Information
Primary practice address
654 Willow St Bass River
South Yarmouth MA 02664-5636
Phone: (508) 360-6227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | LPN57523 | Massachusetts |
Profile Details
| NPI number | 1275065047 |
|---|---|
| LBN Legal business name | Boosahda, Stephanie Ellen |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 31st, 2017 |
| Last updated | Mar 31st, 2017 - about 7 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 | 1275065047 | NPPES |
| Massachusetts | Other | LPN57523 | MASSACHUSETTS BOARD OF NURSING |
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