Obrien, Jean
Obrien, Jean is an individual health care provider with primary practice located at 85 Herrick Street Radiology Department, Beverly MA 01915-1790. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Obrien, Jean can be contacted via phone (978) 922-3000.Contact Information
Primary practice address
85 Herrick Street Radiology Department
Beverly MA 01915-1790
Phone: (978) 922-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 77634 | Massachusetts |
Profile Details
| NPI number | 1902884075 |
|---|---|
| LBN Legal business name | Obrien, Jean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Jul 23rd, 2012 - 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 | 1902884075 | NPPES |
| Massachusetts | MEDICAID | 3124789 |
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