Cloherty, John Joseph
Cloherty, John Joseph is an sole proprietor health care provider with primary practice located at 1400 Vfw Pkwy Emergency Department, West Roxbury MA 02132-4927. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cloherty, John Joseph can be contacted via phone (617) 323-7700.Contact Information
Primary practice address
1400 Vfw Pkwy Emergency Department
West Roxbury MA 02132-4927
Phone: (617) 323-7700
Fax: (857) 203-5645
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 150879 | Massachusetts |
Profile Details
| NPI number | 1609970193 |
|---|---|
| LBN Legal business name | Cloherty, John Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1609970193 | NPPES |
| Massachusetts | Other | J17245 | BLUE SHIELD |
| Massachusetts | Other | 39-00216 | BLUE SHIELD |
| Massachusetts | MEDICAID | 3176291 | BLUE SHIELD |
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