Jain, Sandeep
Jain, Sandeep is an individual health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Jain, Sandeep can be contacted via phone (978) 287-9350.Contact Information
Primary practice address
330 Baker Ave
Concord MA 01742-2129
Phone: (978) 287-9350
Fax: (978) 287-9421
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 154343 | Massachusetts |
Profile Details
| NPI number | 1417915562 |
|---|---|
| LBN Legal business name | Jain, Sandeep |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Nov 16th, 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 | 1417915562 | NPPES |
| Massachusetts | Other | 154343 | TUFTS |
| Massachusetts | Other | 7718245 | TUFTS |
| Massachusetts | MEDICAID | 3178897 | TUFTS |
| Massachusetts | Other | 0738235-005 | TUFTS |
| Massachusetts | Other | V763 | TUFTS |
| Massachusetts | Other | J18252 | TUFTS |
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