Oldershaw, John Hallock
Oldershaw, John Hallock is an individual health care provider with primary practice located at 85 Herrick St , Beverly MA 01915-1776. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Oldershaw, John Hallock can be contacted via phone (978) 922-3000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 72783 | Massachusetts |
Profile Details
| NPI number | 1104829423 |
|---|---|
| LBN Legal business name | Oldershaw, John Hallock |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Jul 20th, 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 | 1104829423 | NPPES |
| Massachusetts | MEDICAID | 3070786 |
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85 Herrick St Radiology Department, Beverly MA 01915-1776