Fine, Gerald Stephen
Fine, Gerald Stephen is an sole proprietor health care provider with primary practice located at 1223 Beacon Street , Brookline MA 02446-5302. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fine, Gerald Stephen can be contacted via phone (617) 731-6060.Contact Information
Primary practice address
1223 Beacon Street
Brookline MA 02446-5302
Phone: (617) 731-6060
Fax: (617) 975-1990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 12631 | Massachusetts |
Profile Details
| NPI number | 1881685238 |
|---|---|
| LBN Legal business name | Fine, Gerald Stephen |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Sep 12th, 2012 - about 12 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 | 1881685238 | NPPES |
| Massachusetts | Other | 16001 | HPHC |
| Massachusetts | Other | X04231 | HPHC |
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