Jezewski, Peter Alan
Jezewski, Peter Alan is an individual health care provider with primary practice located at 100 Everett Ave Unit 5, Chelsea MA 02150. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Jezewski, Peter Alan can be contacted via phone (617) 884-4444.Contact Information
Primary practice address
100 Everett Ave Unit 5
Chelsea MA 02150
Phone: (617) 884-4444
Fax: (617) 884-4448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 21238 | Massachusetts |
Profile Details
| NPI number | 1730102088 |
|---|---|
| LBN Legal business name | Jezewski, Peter Alan |
| Credentials | DDS PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jul 8th, 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 | 1730102088 | NPPES |
| Massachusetts | MEDICAID | 0204544 |
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