Mccallion, Jack

Mccallion, Jack is an individual health care provider with primary practice located at 2014 Washington St , Newton MA 02462-1607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Mccallion, Jack can be contacted via phone (617) 243-6298.

Contact Information

Primary practice address
2014 Washington St Newton MA 02462-1607
Fax: (617) 243-6184
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 59984 Massachusetts

Profile Details

NPI number 1083695274
LBN Legal business name Mccallion, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Mar 9th, 2022 - about 2 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 1083695274 NPPES
Massachusetts Other J07425 BCBS MA
Massachusetts Other 059984 BCBS MA
Massachusetts MEDICAID 3035522 BCBS MA

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