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
Phone: (617) 632-3767
Fax: (617) 525-7333
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700922879 | NPPES |
Maryland | MEDICAID | 408086600 |
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