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:
Health care specialties
| Specialty | Code | License # | 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 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 | 1316912033 | NPPES |
| Massachusetts | Other | J07173 | BCBS MA |
| Massachusetts | Other | 724621 | BCBS MA |
| Massachusetts | MEDICAID | 110045431/A | BCBS MA |
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