Ledbetter, John S

Ledbetter, John S is an individual health care provider with primary practice located at 75 Herrick St Ste 219, Beverly MA 01915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ledbetter, John S can be contacted via phone (978) 927-0714.

Contact Information

Primary practice address
75 Herrick St Ste 219 Beverly MA 01915
Fax: (978) 927-9135
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 54518 Massachusetts

Profile Details

NPI number 1437170263
LBN Legal business name Ledbetter, John S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Apr 14th, 2015 - about 9 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 1437170263 NPPES
Massachusetts MEDICAID 3003418

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