Fallon, Jonathan M

Fallon, Jonathan M is an individual health care provider with primary practice located at 4 West St , West Hatfield MA 01088-9515. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fallon, Jonathan M can be contacted via phone (413) 586-8200.

Contact Information

Primary practice address
4 West St West Hatfield MA 01088-9515
Fax: (413) 582-1460
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 235996 Massachusetts

Profile Details

NPI number 1396955738
LBN Legal business name Fallon, Jonathan M
Credentials D.O., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Feb 9th, 2011 - about 13 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 1396955738 NPPES
Massachusetts MEDICAID 2155401

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