Buckley, Denise Grace
Buckley, Denise Grace is an individual health care provider with primary practice located at 881 Commonwealth Ave , Boston MA 02215. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / School, which is considered as her primary health care specialty. Buckley, Denise Grace can be contacted via phone (617) 353-3575.Contact Information
Primary practice address
881 Commonwealth Ave
Boston MA 02215
Phone: (617) 353-3575
Fax: (617) 353-3557
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / School | 363LS0200X | 77026 | Massachusetts |
Profile Details
| NPI number | 1174744742 |
|---|---|
| LBN Legal business name | Buckley, Denise Grace |
| Credentials | Registered Nurse Certified (RNC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1174744742 | NPPES |
| Massachusetts | Other | 77026 | STATE LISC. |
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