Dizon, Luz Evangeline Salud

Dizon, Luz Evangeline Salud is an individual health care provider with primary practice located at 235 N Pearl St Good Samaritan Hospital, Brockton MA 02301-1794. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Dizon, Luz Evangeline Salud can be contacted via phone (508) 427-2525.

Contact Information

Primary practice address
235 N Pearl St Good Samaritan Hospital Brockton MA 02301-1794
Phone: (508) 427-2525
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 81052 Massachusetts

Profile Details

NPI number 1902891724
LBN Legal business name Dizon, Luz Evangeline Salud
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated May 2nd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902891724 NPPES
Massachusetts Other J24338 FEDERAL BC/BS
Massachusetts Other J24338 FEDERAL BC/BS
Massachusetts Other J24338 FEDERAL BC/BS
Massachusetts MEDICAID O159140 FEDERAL BC/BS
Massachusetts Other 000000026002 FEDERAL BC/BS
Massachusetts Other 0026396 FEDERAL BC/BS

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