Holguin, Nicole C
Holguin, Nicole C is an individual health care provider with primary practice located at 103 Garland St , Everett MA 02149-5066. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Holguin, Nicole C can be contacted via phone (617) 381-5061.Contact Information
Primary practice address
103 Garland St
Everett MA 02149-5066
Phone: (617) 381-5061
Fax: (617) 381-5067
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 256930 | Massachusetts |
Profile Details
| NPI number | 1881823169 |
|---|---|
| LBN Legal business name | Holguin, Nicole C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 8th, 2009 |
| Last updated | Dec 10th, 2014 - about 12 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 | 1881823169 | NPPES |
| Massachusetts | MEDICAID | 110097602A |
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