Boateng, Samuel
Boateng, Samuel is an individual health care provider with primary practice located at 999 Dalton Ave , Pittsfield MA 01201-2903. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Boateng, Samuel can be contacted via phone (413) 448-6231.Contact Information
Primary practice address
999 Dalton Ave
Pittsfield MA 01201-2903
Phone: (413) 448-6231
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | F0415163 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN2316205 | Massachusetts |
Profile Details
| NPI number | 1790162527 |
|---|---|
| LBN Legal business name | Boateng, Samuel |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 30th, 2015 |
| Last updated | Feb 9th, 2019 - about 7 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 | 1790162527 | NPPES |
| Massachusetts | MEDICAID | 1790162527 |
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