Damico, Jennifer

Damico, Jennifer is an sole proprietor health care provider with primary practice located at 355 N Main St , North Brookfield MA 01535. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Damico, Jennifer can be contacted via phone (508) 867-3755.

Contact Information

Primary practice address
355 N Main St North Brookfield MA 01535
Phone: (508) 867-3755
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3785 Massachusetts

Profile Details

NPI number 1760456651
LBN Legal business name Damico, Jennifer
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Mar 4th, 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 1760456651 NPPES
Other 981690 NETWORK HEALTH
Other W21011 NETWORK HEALTH
Other 0392022 NETWORK HEALTH
Other 151329 NETWORK HEALTH
Other 2634580 NETWORK HEALTH
Other 57106 NETWORK HEALTH
Other W21011 NETWORK HEALTH
MEDICAID 0392022 NETWORK HEALTH
Other 20798 NETWORK HEALTH
Other 2203040 NETWORK HEALTH
Other 2634580 NETWORK HEALTH
Other 747176 NETWORK HEALTH
Other 9777385 NETWORK HEALTH
Other 1149190002 NETWORK HEALTH
Other 732547 NETWORK HEALTH
Other W15940 NETWORK HEALTH
Other 200 NETWORK HEALTH
Other W15940 NETWORK HEALTH

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