Fleitman, Jay S
Fleitman, Jay S is an sole proprietor health care provider with primary practice located at 90 Conz St , Northampton MA 01060-3881. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fleitman, Jay S can be contacted via phone (413) 586-9100.Contact Information
Primary practice address
90 Conz St
Northampton MA 01060-3881
Phone: (413) 586-9100
Fax: (413) 586-3379
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52983 | Massachusetts |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 52983 | Massachusetts |
Profile Details
| NPI number | 1114904497 |
|---|---|
| LBN Legal business name | Fleitman, Jay S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 28th, 2005 |
| Last updated | Jun 22nd, 2009 - about 16 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 | 1114904497 | NPPES |
| Massachusetts | Other | J03304 | BLUE CROSS |
| Massachusetts | Other | 110024051 | BLUE CROSS |
| Massachusetts | MEDICAID | 6180264 | BLUE CROSS |
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