Nicholson, Bobin G
Nicholson, Bobin G is an sole proprietor health care provider with primary practice located at 133 Brookline Ave , Boston MA 02215-3904. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Nicholson, Bobin G can be contacted via phone (617) 421-1000.Contact Information
Primary practice address
133 Brookline Ave
Boston MA 02215-3904
Phone: (617) 421-1000
Fax: (617) 421-6084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | 4972 | Massachusetts |
Profile Details
| NPI number | 1841419181 |
|---|---|
| LBN Legal business name | Nicholson, Bobin G |
| Credentials | OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841419181 | NPPES |
| Massachusetts | MEDICAID | 0324345 |
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