Bochman, Marisa Modini
Bochman, Marisa Modini is an individual health care provider with primary practice located at 36 Essex Rd , Ipswich MA 01938-2599. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bochman, Marisa Modini can be contacted via phone (978) 356-5522.Contact Information
Primary practice address
36 Essex Rd
Ipswich MA 01938-2599
Phone: (978) 356-5522
Fax: (978) 356-0218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 160017 | Massachusetts |
Profile Details
| NPI number | 1366495749 |
|---|---|
| LBN Legal business name | Bochman, Marisa Modini |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Sep 23rd, 2020 - about 6 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 | 1366495749 | NPPES |
| Massachusetts | MEDICAID | 3197611 |
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