Sooch, Divjot Kaur
Sooch, Divjot Kaur is an individual health care provider with primary practice located at 1215 Broadway , Raynham MA 02767-1942. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Sooch, Divjot Kaur can be contacted via phone (508) 894-0400.Contact Information
Primary practice address
1215 Broadway
Raynham MA 02767-1942
Phone: (508) 894-0400
Fax: (508) 894-0412
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD13401 | Rhode Island |
Profile Details
| NPI number | 1275731853 |
|---|---|
| LBN Legal business name | Sooch, Divjot Kaur |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2007 |
| Last updated | Jan 12th, 2024 - about last year |
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 | 1275731853 | NPPES |
| Massachusetts | Other | 1698301 | MEDICARE PTAN |
| Massachusetts | MEDICAID | 110085687A | MEDICARE PTAN |
| Massachusetts | MEDICAID | DS81690 | MEDICARE PTAN |
| Massachusetts | Other | 001698302 | MEDICARE PTAN |
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