Phalen, Jean R
Phalen, Jean R is an individual health care provider with primary practice located at 1450 Highland Ave , Needham MA 02492-2690. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Phalen, Jean R can be contacted via phone (781) 449-0020.Contact Information
Primary practice address
1450 Highland Ave
Needham MA 02492-2690
Phone: (781) 449-0020
Fax: (781) 449-3181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 57337 | Massachusetts |
Profile Details
| NPI number | 1376510271 |
|---|---|
| LBN Legal business name | Phalen, Jean R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Feb 24th, 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 | 1376510271 | NPPES |
| Massachusetts | Other | 693126 | HARVARD PILGRIM ID |
| Massachusetts | MEDICAID | 3024512 | HARVARD PILGRIM ID |
| Massachusetts | Other | J06766 | HARVARD PILGRIM ID |
| Massachusetts | Other | 057337 | HARVARD PILGRIM ID |
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