Carroll, Susan

Carroll, Susan is an sole proprietor health care provider with primary practice located at 360 W Boylston St Rm 107 , West Boylston MA 01583-2370. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Carroll, Susan can be contacted via phone (508) 854-1380.

Contact Information

Primary practice address
360 W Boylston St Rm 107 West Boylston MA 01583-2370
Phone: (508) 854-1380
Fax: (508) 854-1380
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 217 Massachusetts

Profile Details

NPI number 1497810600
LBN Legal business name Carroll, Susan
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2006
Last updated Dec 27th, 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 1497810600 NPPES
Massachusetts Other LD0181 BCBS OF MA
Massachusetts Other AA51160 BCBS OF MA

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