Boss, John Herbert

Boss, John Herbert is an individual health care provider with primary practice located at 1 River Place , Lowell MA 01852-1091. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boss, John Herbert can be contacted via phone (978) 458-1114.

Contact Information

Primary practice address
1 River Place Lowell MA 01852-1091
Fax: (978) 458-8910
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 13362 Massachusetts

Profile Details

NPI number 1245242866
LBN Legal business name Boss, John Herbert
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1245242866 NPPES
Massachusetts MEDICAID 0250813
Massachusetts Other X05355

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