Pentheny, Jane
Pentheny, Jane is an individual health care provider with primary practice located at 111 Grossman Dr , Braintree MA 02184-4997. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Pentheny, Jane can be contacted via phone (781) 849-2295.Contact Information
Primary practice address
111 Grossman Dr
Braintree MA 02184-4997
Phone: (781) 849-2295
Fax: (781) 849-2514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3362 | Massachusetts |
Profile Details
| NPI number | 1801952569 |
|---|---|
| LBN Legal business name | Pentheny, Jane |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Oct 22nd, 2012 - about 13 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 | 1801952569 | NPPES |
| Massachusetts | Other | 0014540 | NHP |
| Massachusetts | Other | 9390295-002 | NHP |
| Massachusetts | Other | 003362 | NHP |
| Massachusetts | MEDICAID | 0393711 | NHP |
| Massachusetts | Other | E199 | NHP |
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