Baxter, Jeffrey D

Baxter, Jeffrey D is an individual health care provider with primary practice located at 585 Lincoln St , Worcester MA 01605-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Baxter, Jeffrey D can be contacted via phone (508) 831-0045.

Contact Information

Primary practice address
585 Lincoln St Worcester MA 01605-1906
Phone: (508) 831-0045
Fax: (508) 831-0074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 157945 Massachusetts
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 157945 Massachusetts

Profile Details

NPI number 1407866619
LBN Legal business name Baxter, Jeffrey D
Credentials FAMILY PRACTICE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Sep 21st, 2016 - about 8 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 1407866619 NPPES
Massachusetts Other 0003961 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 0103677 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 99733701 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other Y10141 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 6032012002 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other J22851 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other AA9738 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 0006767 NEIGHBORHOOD HEALTH PLAN
Massachusetts MEDICAID 1300709 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 042485308 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 44499 NEIGHBORHOOD HEALTH PLAN

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