De Vita, Jamal Thomas
De Vita, Jamal Thomas is an individual health care provider with primary practice located at 179 Great Rd Ste 107 , Acton MA 01720-5740. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. De Vita, Jamal Thomas can be contacted via phone (978) 263-9336.Contact Information
Primary practice address
179 Great Rd Ste 107
Acton MA 01720-5740
Phone: (978) 263-9336
Fax: (978) 264-4431
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 3001 | Massachusetts |
Profile Details
| NPI number | 1972557288 |
|---|---|
| LBN Legal business name | De Vita, Jamal Thomas |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 20th, 2006 |
| Last updated | May 6th, 2020 - about 4 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 | 1972557288 | NPPES |
| Massachusetts | MEDICAID | 1603370 |
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