Henriquez, Shaina Immaculee
Henriquez, Shaina Immaculee is an individual health care provider with primary practice located at 45 Dimock St , Roxbury MA 02119-1208. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Henriquez, Shaina Immaculee can be contacted via phone (617) 442-8800.Contact Information
Primary practice address
45 Dimock St
Roxbury MA 02119-1208
Phone: (617) 442-8800
Fax: (617) 541-0950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN1858588 | Massachusetts |
Profile Details
| NPI number | 1043748254 |
|---|---|
| LBN Legal business name | Henriquez, Shaina Immaculee |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2017 |
| Last updated | Jul 1st, 2021 - about 3 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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