Jenkins, Roger
Jenkins, Roger is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Inc., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Transplant Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Jenkins, Roger can be contacted via phone (781) 744-5100.Contact Information
Primary practice address
41 Mall Rd Lahey Clinic, Inc.
Burlington MA 01805-0001
Phone: (781) 744-5100
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | 47280 | Massachusetts |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 47280 | Massachusetts |
Profile Details
| NPI number | 1518947860 |
|---|---|
| LBN Legal business name | Jenkins, Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Mar 24th, 2021 - about 3 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 | 1518947860 | NPPES |
| Massachusetts | MEDICAID | 0191906 |
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