Bukalo, Nermina

Bukalo, Nermina is an individual health care provider with primary practice located at 71 Haynes St , Manchester CT 06040-4131. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Bukalo, Nermina can be contacted via phone (860) 540-6595.

Contact Information

Primary practice address
71 Haynes St Manchester CT 06040-4131
Phone: (860) 540-6595
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 224430 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 048166 Connecticut

Profile Details

NPI number 1659340651
LBN Legal business name Bukalo, Nermina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 24th, 2015 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659340651 NPPES
Massachusetts MEDICAID 2143143

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