Kieval, Jeremy Zvi

Kieval, Jeremy Zvi is an individual health care provider with primary practice located at 21 Worthen Rd , Lexington MA 02421-4835. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Kieval, Jeremy Zvi can be contacted via phone (781) 862-1620.

Contact Information

Primary practice address
21 Worthen Rd Lexington MA 02421-4835
Phone: (781) 862-1620
Fax: (781) 863-9416
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 239569 Massachusetts

Profile Details

NPI number 1457537136
LBN Legal business name Kieval, Jeremy Zvi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2008
Last updated Oct 7th, 2016 - about 8 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 1457537136 NPPES
Massachusetts Other 001119101 MEDICARE - NATIONAL GOVERNMENT SERVICES
Massachusetts MEDICAID 11083976A MEDICARE - NATIONAL GOVERNMENT SERVICES

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