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Contact Information

GINA CREALESE
63 MAIN ST
BROCKTON, MA02301-4042
 Phone: 508-559-6696
 Fax: 508-559-5073
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for GINA CREALESE · (Female)

NPI Number 1174900278
Status Active
Credentials
Entity Individual
Enumeration date 04/28/2015
Last updated 04/28/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MA License # LN86970
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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