Macklis, Jeffrey D
Macklis, Jeffrey D is an individual health care provider with primary practice located at 15 Parkman Street Neurology Associates Wac 835, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Macklis, Jeffrey D can be contacted via phone (617) 726-8581.Contact Information
Primary practice address
15 Parkman Street Neurology Associates Wac 835
Boston MA 02114-3117
Phone: (617) 726-8581
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 58788 | Massachusetts |
Profile Details
| NPI number | 1821038712 |
|---|---|
| LBN Legal business name | Macklis, Jeffrey D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1821038712 | NPPES |
| Massachusetts | Other | J08200 | BCBS MA |
| Massachusetts | Other | 730069 | BCBS MA |
| Massachusetts | MEDICAID | 304063I | BCBS MA |
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