Deshaies, John

Deshaies, John is an individual health care provider with primary practice located at 15 Central St , Andover MA 01810-3758. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Deshaies, John can be contacted via phone (978) 475-5252.

Contact Information

Primary practice address
15 Central St Andover MA 01810-3758
Fax: (978) 475-2226
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5034 Massachusetts

Profile Details

NPI number 1275942419
LBN Legal business name Deshaies, John
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2014
Last updated Aug 12th, 2014 - about 10 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 1275942419 NPPES
Other MA5034 MA LICENSE NUMBER

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