Gautam, Prashansa

Gautam, Prashansa is an sole proprietor health care provider with primary practice located at 50 S Huntington Ave , Boston MA 02130-4713. She recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as her primary health care specialty. Gautam, Prashansa can be contacted via phone (617) 232-9500.

Contact Information

Primary practice address
50 S Huntington Ave Boston MA 02130-4713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1700636651
LBN Legal business name Gautam, Prashansa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 25th, 2024
Last updated Mar 25th, 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.

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