Roseboro, Erica Latoya

Roseboro, Erica Latoya is an individual health care provider with primary practice located at 105 Merrick St , Worcester MA 01609-1937. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roseboro, Erica Latoya can be contacted via phone (508) 797-6100.

Contact Information

Primary practice address
105 Merrick St Worcester MA 01609-1937
Phone: (508) 797-6100
Fax: (508) 797-0693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1598959546
LBN Legal business name Roseboro, Erica Latoya
Credentials Master of Science in Nursing (MSN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2007
Last updated Sep 4th, 2007 - about 18 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 1598959546 NPPES
Massachusetts MEDICAID 1306421
Massachusetts Other M18684
Massachusetts MEDICAID 1308785
Massachusetts Other 2220002001
Massachusetts Other Y10400

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