Mungovan, Rachel

Mungovan, Rachel is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Mungovan, Rachel can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Fax: (508) 853-8593
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 10745 Massachusetts
Dental Providers / Dental Hygienist 124Q00000X DH10745 Massachusetts

Profile Details

NPI number 1982877122
LBN Legal business name Mungovan, Rachel
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Dec 21st, 2011 - about 14 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 1982877122 NPPES
Massachusetts Other 1301071 GROUP NUMBER

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