Smith, Jeffrey Brian

Smith, Jeffrey Brian is an individual health care provider with primary practice located at 22 Pleasant St , West Bridgewater MA 02379-1506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Smith, Jeffrey Brian can be contacted via phone (508) 588-6200.

Contact Information

Primary practice address
22 Pleasant St West Bridgewater MA 02379-1506
Phone: (508) 588-6200
Fax: (508) 588-6211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 153908 Massachusetts

Profile Details

NPI number 1609863018
LBN Legal business name Smith, Jeffrey Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Nov 28th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609863018 NPPES
Massachusetts MEDICAID 3175979

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