Kriteman, Jacob Seymour

Kriteman, Jacob Seymour is an individual health care provider with primary practice located at 83 Herrick St Suite 1003, Beverly MA 01915-2757. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Kriteman, Jacob Seymour can be contacted via phone (978) 927-4980.

Contact Information

Primary practice address
83 Herrick St Suite 1003 Beverly MA 01915-2757
Fax: (978) 922-9115
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34414 Massachusetts

Profile Details

NPI number 1205868395
LBN Legal business name Kriteman, Jacob Seymour
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205868395 NPPES
Massachusetts MEDICAID 2028557

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