Dolan, Janemarie N

Dolan, Janemarie N is an individual health care provider with primary practice located at 63 Main St , Brockton MA 02301-4042. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Dolan, Janemarie N can be contacted via phone (508) 559-6699.

Contact Information

Primary practice address
63 Main St Brockton MA 02301-4042
Fax: (508) 559-5073
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 79504 Massachusetts

Profile Details

NPI number 1194736017
LBN Legal business name Dolan, Janemarie N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 19th, 2011 - about 14 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 1194736017 NPPES
Massachusetts Other 33101 CMSP
Massachusetts Other 33101 CMSP
Massachusetts Other J14673 CMSP
Massachusetts MEDICAID 1309927 CMSP
Massachusetts Other 0034435 CMSP

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