Jenis, Louis G
Jenis, Louis G is an individual health care provider with primary practice located at 123 Summer St Ste 320S , Worcester MA 01608-1216. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jenis, Louis G can be contacted via phone (508) 964-5580.Contact Information
Primary practice address
123 Summer St Ste 320S
Worcester MA 01608-1216
Phone: (508) 964-5580
Fax: (508) 368-3143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 76427 | Massachusetts |
Profile Details
| NPI number | 1285636993 |
|---|---|
| LBN Legal business name | Jenis, Louis G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | May 22nd, 2024 - about last year |
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 | 1285636993 | NPPES |
| Massachusetts | MEDICAID | 110059088A |
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