Active NPIIndividual providerSole proprietor

Mrs. Susan N Bol, RD

Dietitian, Registered in Worcester, Massachusetts

NPI Number1396895603
Practice location
55 Lake Ave North, Ummhc, Worcester, MA 01655
Fax
508-856-8020
Last updated
July 8, 2007

Susan N Bol is a Dietitian, Registered based in Worcester, MA. Susan N Bol practices in Worcester, MA and has the professional credentials of RD. The NPI Number for Susan N Bol is 1396895603 and holds a License No. 1304 (MA). The current practice location address for Susan N Bol is 55 Lake Ave North, Ummhc, Worcester, MA 01655 and can be reached out via phone at 508-856-3367 and via fax at 508-856-8020.

Provider Profile Details

NPI Number
1396895603
Provider Name
Susan N Bol
Credential
RD
Provider Entity Type
Individual
Gender
Female
Address
55 Lake Ave North, Ummhc, Worcester, MA 01655
Phone Number
508-856-3367
Fax Number
508-856-8020
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Lake Ave North
Ummhc
Worcester, MA 01655
Zip
01655
Phone Number
508-856-3367
Fax Number
508-856-8020
Worcester, MA 01655Get directions →

Provider Business Mailing Address Details

Address
269 Williams St
Uxbridge, MA 01569-1130
City
Uxbridge
State
MA
Zip
01569-1130
Phone Number
508-856-3367
Fax Number
508-856-8020

License Information

License Number
1304
License State
MA
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dietitian, Registered providers near Worcester, MA

View all Dietitian, Registered providers in Worcester →

Frequently Asked Questions

What is the NPI number of Mrs. Susan N Bol, RD?

The NPI number of Mrs. Susan N Bol, RD is 1396895603. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Susan N Bol, RD?

Mrs. Susan N Bol, RD is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 1304.

Where does Mrs. Susan N Bol, RD practice?

The practice location is 55 Lake Ave North, Ummhc, Worcester, MA 01655. The office can be reached at 508-856-3367 (phone) or 508-856-8020 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396895603 directly on the NPPES registry website.

Browse related providers