Buzard, Daniel A
Buzard, Daniel A is an sole proprietor health care provider with primary practice located at 211 Mount Vernon St , West Roxbury MA 02132-2825. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as his primary health care specialty. Buzard, Daniel A can be contacted via phone (617) 816-5451.Contact Information
Primary practice address
211 Mount Vernon St
West Roxbury MA 02132-2825
Phone: (617) 816-5451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 193025 | Massachusetts |
Profile Details
| NPI number | 1376525576 |
|---|---|
| LBN Legal business name | Buzard, Daniel A |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Dec 13th, 2009 - about 16 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 | 1376525576 | NPPES |
| Massachusetts | MEDICAID | 1200992 |
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