Gottschall, James M

Gottschall, James M is an individual health care provider with primary practice located at 225 Boston St Suite 203, Lynn MA 01904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Gottschall, James M can be contacted via phone (781) 593-5100.

Contact Information

Primary practice address
225 Boston St Suite 203 Lynn MA 01904
Fax: (781) 596-8295
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 39525 Massachusetts

Profile Details

NPI number 1932166196
LBN Legal business name Gottschall, James M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1932166196 NPPES
Massachusetts MEDICAID 6188664

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