Quinn, Nicole

Quinn, Nicole is an individual health care provider with primary practice located at 1255 Boylston St , Boston MA 02215-3468. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Quinn, Nicole can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
1255 Boylston St Boston MA 02215-3468
Phone: (617) 262-2020
Fax: (617) 236-6323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4251 Massachusetts

Profile Details

NPI number 1376542209
LBN Legal business name Quinn, Nicole
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2005
Last updated Jun 2nd, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376542209 NPPES
Massachusetts MEDICAID 336190

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