Macvicar, Jessie H
Macvicar, Jessie H is an individual health care provider with primary practice located at 110 Liberty St , Brockton MA 02301-5521. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Macvicar, Jessie H can be contacted via phone (508) 894-0400.Contact Information
Primary practice address
110 Liberty St
Brockton MA 02301-5521
Phone: (508) 894-0400
Fax: (508) 565-0157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 206882 | Massachusetts |
Profile Details
| NPI number | 1912988874 |
|---|---|
| LBN Legal business name | Macvicar, Jessie H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 8th, 2005 |
| Last updated | Sep 20th, 2013 - about 12 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 | 1912988874 | NPPES |
| Massachusetts | MEDICAID | 0161730 |
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