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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215915327 NPPES
Massachusetts MEDICAID 3001253

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