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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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