Carl Rudolph Blain
Individual provider Active NPI Health Service Clinic/Center · Holbrook, MA
NPI 1801472840 · NPPES record last updated Mar 21, 2021
Key facts
- NPI
- 1801472840
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- Practice address
- 28 Worcester PL
Holbrook, MA 02343-1085 - Phone
- (857) 308-6508
- NPI assigned
- Mar 21, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Yes |
Addresses
Primary practice location
28 Worcester PL
Holbrook, MA 02343-1085
Mailing address
28 Worcester PL
Holbrook, MA 02343-1085
Phone (857) 308-6508
Other names
- Carl Rudolph Blain
Other providers in Holbrook, MA
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- Andrew Belmore
- Elizabeth A Benson
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- Deborah Cabezas
- Jolmiry Adriana Campos
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- Nicole Rose Caron
All providers in Holbrook, MA · Health Service Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.