Shoyer, Jan R
Shoyer, Jan R is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Shoyer, Jan R can be contacted via phone (617) 629-6300.Contact Information
Primary practice address
40 Holland St
Somerville MA 02144-2705
Phone: (617) 629-6300
Fax: (617) 629-6090
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 73160 | Massachusetts |
Profile Details
| NPI number | 1376523035 |
|---|---|
| LBN Legal business name | Shoyer, Jan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Oct 23rd, 2020 - about 5 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 | 1376523035 | NPPES |
| Massachusetts | Other | J16087 | BLUE CROSS |
| Massachusetts | Other | 073160 | BLUE CROSS |
| Massachusetts | Other | 0015153 | BLUE CROSS |
| Massachusetts | Other | PP412 | BLUE CROSS |
| Massachusetts | MEDICAID | 3202593 | BLUE CROSS |
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