Chavin, Jeffrey Michael

Chavin, Jeffrey Michael is an individual health care provider with primary practice located at 800 Washington St #314, Boston MA 02111-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Chavin, Jeffrey Michael can be contacted via phone (617) 636-7581.

Contact Information

Primary practice address
800 Washington St #314 Boston MA 02111-1552
Fax: (617) 636-8199
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 80733 Massachusetts

Profile Details

NPI number 1285613356
LBN Legal business name Chavin, Jeffrey Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 7th, 2008 - about 17 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 1285613356 NPPES
Massachusetts MEDICAID 3155404

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