Roseboro, Erica Latoya
Roseboro, Erica Latoya is an individual health care provider with primary practice located at 105 Merrick St , Worcester MA 01609-1937. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Roseboro, Erica Latoya can be contacted via phone (508) 797-6100.Contact Information
Primary practice address
105 Merrick St
Worcester MA 01609-1937
Phone: (508) 797-6100
Fax: (508) 797-0693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1598959546 |
|---|---|
| LBN Legal business name | Roseboro, Erica Latoya |
| Credentials | Master of Science in Nursing (MSN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 4th, 2007 |
| Last updated | Sep 4th, 2007 - about 19 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 | 1598959546 | NPPES |
| Massachusetts | MEDICAID | 1306421 | |
| Massachusetts | Other | M18684 | |
| Massachusetts | MEDICAID | 1308785 | |
| Massachusetts | Other | 2220002001 | |
| Massachusetts | Other | Y10400 |
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