Justal, Darline
Justal, Darline is an sole proprietor health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Psychiatric/Mental Health, Adult. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Justal, Darline can be contacted via phone (617) 414-5245.Contact Information
Primary practice address
1 Boston Medical Ctr Pl
Boston MA 02118-2908
Phone: (617) 414-5245
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | RN2327588 | Massachusetts |
Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | RN2327588 | Massachusetts |
Profile Details
NPI number | 1316610900 |
---|---|
LBN Legal business name | Justal, Darline |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2021 |
Last updated | Dec 18th, 2023 - about last year |
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 | 1316610900 | NPPES |
Massachusetts | MEDICAID | 110190199A |
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