Laborce, Imelda Bolano

Laborce, Imelda Bolano is an sole proprietor health care provider with primary practice located at 1677 Earl St , Union NJ 07083-5533. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Laborce, Imelda Bolano can be contacted via phone (908) 686-8782.

Contact Information

Primary practice address
1677 Earl St Union NJ 07083-5533
Phone: (908) 686-8782
Fax: (908) 687-4198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 205105 New York

Profile Details

NPI number 1427250653
LBN Legal business name Laborce, Imelda Bolano
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2007
Last updated Jul 8th, 2007 - about 17 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 1427250653 NPPES
New York MEDICAID 01817647

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