Bonczek, Jennifer L.

Bonczek, Jennifer L. is an individual health care provider with primary practice located at 26 City Hall Mall , Medford MA 02155-4754. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bonczek, Jennifer L. can be contacted via phone (617) 629-6444.

Contact Information

Primary practice address
26 City Hall Mall Medford MA 02155-4754
Phone: (617) 629-6444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 2385 Massachusetts

Profile Details

NPI number 1578515169
LBN Legal business name Bonczek, Jennifer L.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 28th, 2009 - 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 1578515169 NPPES
Massachusetts Other 0037904 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other 680078 NEIGHBORHOOD HEALTH PLAN
Massachusetts Other AA59315 NEIGHBORHOOD HEALTH PLAN

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