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
Phone: (978) 927-0714
Fax: (978) 927-9135
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437170263 | NPPES |
Massachusetts | MEDICAID | 3003418 |
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