Labonte, Jennifer W

Labonte, Jennifer W is an sole proprietor health care provider with primary practice located at 45 Sterling St Ste 22 , West Boylston MA 01583-1201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Labonte, Jennifer W can be contacted via phone (774) 772-5161.

Contact Information

Primary practice address
45 Sterling St Ste 22 West Boylston MA 01583-1201
Phone: (774) 772-5161
Fax: (774) 893-8608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 204383 Massachusetts

Profile Details

NPI number 1700868932
LBN Legal business name Labonte, Jennifer W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Feb 28th, 2022 - about 4 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 1700868932 NPPES
Massachusetts MEDICAID 0103748

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