Buonome, Erin

Buonome, Erin is an sole proprietor health care provider with primary practice located at 1115 West Chestnut St , Brockton MA 02301. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Buonome, Erin can be contacted via phone (508) 580-4691.

Contact Information

Primary practice address
1115 West Chestnut St Brockton MA 02301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1699085423
LBN Legal business name Buonome, Erin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 14th, 2010
Last updated Oct 14th, 2010 - about 15 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 1699085423 NPPES
Connecticut Other XGS0009860173 ANTHEM BLUE CROSS BLUE SHIELD
Connecticut Other 966295689 ANTHEM BLUE CROSS BLUE SHIELD

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