Jefferson, David

Jefferson, David is an individual health care provider with primary practice located at 82 Birchcroft Rd , Hyde Park MA 02136-6087. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Jefferson, David can be contacted via phone (617) 590-8215.

Contact Information

Primary practice address
82 Birchcroft Rd Hyde Park MA 02136-6087
Phone: (617) 590-8215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497124713
LBN Legal business name Jefferson, David
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2015
Last updated Sep 16th, 2015 - about 10 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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