Geschelin, Edward Vance
Geschelin, Edward Vance is an sole proprietor health care provider with primary practice located at 500 E Broadway , South Boston MA 02127-4406. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Geschelin, Edward Vance can be contacted via phone (617) 268-2333.Contact Information
Primary practice address
500 E Broadway
South Boston MA 02127-4406
Phone: (617) 268-2333
Fax: (617) 268-8894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10573 | Massachusetts |
Profile Details
| NPI number | 1942202023 |
|---|---|
| LBN Legal business name | Geschelin, Edward Vance |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Feb 13th, 2008 - about 18 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 | 1942202023 | NPPES |
| Massachusetts | MEDICAID | 0256897 |
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