Ketchum, Jonathan F.

Ketchum, Jonathan F. is an sole proprietor health care provider with primary practice located at 488 Pleasant St , Worcester MA 01609-1857. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Ketchum, Jonathan F. can be contacted via phone (508) 755-9573.

Contact Information

Primary practice address
488 Pleasant St Worcester MA 01609-1857
Phone: (508) 755-9573
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 2087 Massachusetts

Profile Details

NPI number 1922195627
LBN Legal business name Ketchum, Jonathan F.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Mar 25th, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922195627 NPPES
Massachusetts Other Y71045 BLUE SHIELD OF MA
Massachusetts Other 333402 BLUE SHIELD OF MA
Massachusetts Other 0019046 BLUE SHIELD OF MA
Massachusetts Other 002087 BLUE SHIELD OF MA
Massachusetts MEDICAID 0316644 BLUE SHIELD OF MA
Massachusetts Other 2700355 BLUE SHIELD OF MA

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