Bomback, Laura Tavares
Bomback, Laura Tavares is an sole proprietor health care provider with primary practice located at 293 Linden St , Fall River MA 02720-5216. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bomback, Laura Tavares can be contacted via phone (508) 678-1233.Contact Information
Primary practice address
293 Linden St
Fall River MA 02720-5216
Phone: (508) 678-1233
Fax: (508) 678-9893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1628 | Massachusetts |
Profile Details
| NPI number | 1891805131 |
|---|---|
| LBN Legal business name | Bomback, Laura Tavares |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Feb 1st, 2012 - about 14 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 | 1891805131 | NPPES |
| Rhode Island | Other | 3526-2 | BLUE CROSS BLUE SHIELD |
| Rhode Island | Other | Y36136 | BLUE CROSS BLUE SHIELD |
| Rhode Island | Other | Y36136 | BLUE CROSS BLUE SHIELD |
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