Quealy, Jensine Bangsgaard

Quealy, Jensine Bangsgaard is an individual health care provider with primary practice located at 211 Park St , Attleboro MA 02703-3143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Quealy, Jensine Bangsgaard can be contacted via phone (508) 222-5200.

Contact Information

Primary practice address
211 Park St Attleboro MA 02703-3143
Phone: (508) 222-5200
Fax: (508) 236-7290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 167755 Massachusetts

Profile Details

NPI number 1093757171
LBN Legal business name Quealy, Jensine Bangsgaard
Credentials CNM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Nov 27th, 2019 - about 7 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 1093757171 NPPES
Massachusetts Other CN0309 BLUE CROSS & BLUE SHIHELD
Massachusetts Other 0036813 BLUE CROSS & BLUE SHIHELD

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