Goltra, Lynne Bartholomew
Goltra, Lynne Bartholomew is an individual health care provider with primary practice located at 55 Fruit St Yaw 4 Vincent Obgyn Service, Boston MA 02114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Goltra, Lynne Bartholomew can be contacted via phone (617) 724-2229.Contact Information
Primary practice address
55 Fruit St Yaw 4 Vincent Obgyn Service
Boston MA 02114
Phone: (617) 724-2229
Fax: (617) 724-3498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 216410 | Massachusetts |
Profile Details
| NPI number | 1609856038 |
|---|---|
| LBN Legal business name | Goltra, Lynne Bartholomew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Sep 12th, 2017 - about 7 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 | 1609856038 | NPPES |
| Massachusetts | Other | J25700 | BCBS MA |
| Massachusetts | Other | 216410 | BCBS MA |
| Massachusetts | MEDICAID | 0189430 | BCBS MA |
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