Jerram, Matthew William
Jerram, Matthew William is an sole proprietor health care provider with primary practice located at 1679 Massachusetts Ave , Cambridge MA 02138-1807. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Jerram, Matthew William can be contacted via phone (617) 388-6876.Contact Information
Primary practice address
1679 Massachusetts Ave
Cambridge MA 02138-1807
Phone: (617) 388-6876
Fax: (617) 441-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 8429 | Massachusetts |
Profile Details
| NPI number | 1871549980 |
|---|---|
| LBN Legal business name | Jerram, Matthew William |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 26th, 2006 |
| Last updated | Aug 9th, 2007 - about 17 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 | 1871549980 | NPPES |
| Massachusetts | Other | W06387 | BLUE CROSS BLUE SHIELD MA |
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