Boisselle, Dolores R.
Boisselle, Dolores R. is an sole proprietor health care provider with primary practice located at One Broadway Suite 302, Elmwood Park NJ 07407. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Boisselle, Dolores R. can be contacted via phone (201) 773-8962.Contact Information
Primary practice address
One Broadway Suite 302
Elmwood Park NJ 07407
Phone: (201) 773-8962
Fax: (201) 773-8963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 41YA00011400 | New Jersey |
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 41YA00011400 |
Profile Details
| NPI number | 1851535934 |
|---|---|
| LBN Legal business name | Boisselle, Dolores R. |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2009 |
| Last updated | Apr 8th, 2024 - about 2 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 | 1851535934 | NPPES |
| New Jersey | MEDICAID | 0974382 |
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