Divaio, Carol A
Divaio, Carol A is an individual health care provider with primary practice located at 55 Fruit St Yaw 3056 Podiatry Group, Boston MA 02114-2696. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Divaio, Carol A can be contacted via phone (617) 726-3487.Contact Information
Primary practice address
55 Fruit St Yaw 3056 Podiatry Group
Boston MA 02114-2696
Phone: (617) 726-3487
Fax: (617) 726-2739
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1888 | Massachusetts |
Profile Details
NPI number | 1487644936 |
---|---|
LBN Legal business name | Divaio, Carol A |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 26th, 2005 |
Last updated | Aug 1st, 2012 - about 13 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 | 1487644936 | NPPES |
Massachusetts | Other | Y70893 | BCBS MA |
Massachusetts | MEDICAID | 0362735 | BCBS MA |
Massachusetts | Other | 718636 | BCBS MA |
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