Niles, John L

Niles, John L is an individual health care provider with primary practice located at 101 Merrimac St 1St Floor, Boston MA 02114-4724. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Niles, John L can be contacted via phone (617) 726-4132.

Contact Information

Primary practice address
101 Merrimac St 1St Floor Boston MA 02114-4724
Phone: (617) 726-4132
Fax: (617) 726-4213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54243 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 54243 Massachusetts

Profile Details

NPI number 1316912033
LBN Legal business name Niles, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Feb 4th, 2015 - about 10 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 1316912033 NPPES
Massachusetts Other J07173 BCBS MA
Massachusetts Other 724621 BCBS MA
Massachusetts MEDICAID 110045431/A BCBS MA

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