Jackel, Jeffrey S
Jackel, Jeffrey S is an individual health care provider with primary practice located at 639 Granite St Ste 215 , Braintree MA 02184-5371. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Jackel, Jeffrey S can be contacted via phone (781) 817-5383.Contact Information
Primary practice address
639 Granite St Ste 215
Braintree MA 02184-5371
Phone: (781) 817-5383
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 51193 | Massachusetts |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 51193 | Massachusetts |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51193 | Massachusetts |
Profile Details
| NPI number | 1215915327 |
|---|---|
| LBN Legal business name | Jackel, Jeffrey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Feb 6th, 2020 - about 4 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 | 1215915327 | NPPES |
| Massachusetts | MEDICAID | 3001253 |
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