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Contact Information

CHARLES L MUKUBA
211 NASHUA RD
NORTH BILLERICA, MA01862-3159
 Phone: 248-635-9518
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Personal Care Attendant

3747P1801X
 

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for CHARLES L MUKUBA · (Male)

NPI Number 1437977543
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2024
Last updated 09/29/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # $$$$$$$$$
  • MA License # 382299394
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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