Bondlow, Laura A

Bondlow, Laura A is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bondlow, Laura A can be contacted via phone (617) 732-5000.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Phone: (617) 732-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1446 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1446 Massachusetts

Profile Details

NPI number 1003806571
LBN Legal business name Bondlow, Laura A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Jun 30th, 2023 - about 3 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 1003806571 NPPES
Massachusetts Other 042297845 TRICARE
Massachusetts Other 042297845 TRICARE
Massachusetts Other 92078 TRICARE
Massachusetts Other 042297845 TRICARE
Massachusetts Other 042297845 TRICARE

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