Everett, James R

Everett, James R is an individual health care provider with primary practice located at 51 Performance Dr Suite 110, Weymouth MA 02189-3141. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Everett, James R can be contacted via phone (781) 337-9091.

Contact Information

Primary practice address
51 Performance Dr Suite 110 Weymouth MA 02189-3141
Phone: (781) 337-9091
Fax: (781) 331-6355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 33778 Massachusetts

Profile Details

NPI number 1215911789
LBN Legal business name Everett, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jan 21st, 2014 - about 11 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 1215911789 NPPES
Massachusetts Other 0084904 AETNA US HEALTH
Massachusetts MEDICAID 2047039 AETNA US HEALTH
Massachusetts Other 706885 AETNA US HEALTH
Massachusetts Other B20150301 AETNA US HEALTH
Massachusetts Other 14010 AETNA US HEALTH
Massachusetts Other J23017 AETNA US HEALTH

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