Monteiro, Bruno
Monteiro, Bruno is an sole proprietor health care provider with primary practice located at 520 Dudley St , Roxbury MA 02119-2769. He recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as his primary health care specialty. Monteiro, Bruno can be contacted via phone (617) 989-9499.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X |
Profile Details
| NPI number | 1639428493 |
|---|---|
| LBN Legal business name | Monteiro, Bruno |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2012 |
| Last updated | Sep 7th, 2012 - about 13 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 | 1639428493 | NPPES |
| Massachusetts | Other | 097615 | BLUE SHIELD |
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