Ansell, Jack E

Ansell, Jack E is an individual health care provider with primary practice located at 100 E 77Th St Dept Of Medicine, 6Th Floor, New York NY 10075-1850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology, which is considered as his primary health care specialty. Ansell, Jack E can be contacted via phone (212) 434-2142.

Contact Information

Primary practice address
100 E 77Th St Dept Of Medicine, 6Th Floor New York NY 10075-1850
Phone: (212) 434-2142
Fax: (212) 434-2246
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 36584 Massachusetts
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 249338 New York

Profile Details

NPI number 1679559652
LBN Legal business name Ansell, Jack E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Oct 23rd, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679559652 NPPES
Massachusetts MEDICAID 2016648
Massachusetts MEDICAID 03022364

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