Jacene, Heather Alison

Jacene, Heather Alison is an individual health care provider with primary practice located at 75 Francis St Radiology, Brigham And Women'S Hospital, Boston MA 02115-6110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Jacene, Heather Alison can be contacted via phone (617) 632-3767.

Contact Information

Primary practice address
75 Francis St Radiology, Brigham And Women'S Hospital Boston MA 02115-6110
Fax: (617) 525-7333
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 50589 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X D62513 Maryland

Profile Details

NPI number 1700922879
LBN Legal business name Jacene, Heather Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 31st, 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 1700922879 NPPES
Maryland MEDICAID 408086600

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