Smith, Jeremy Taylor

Smith, Jeremy Taylor is an sole proprietor health care provider with primary practice located at 1153 Centre Street Suite 56, Faulkner Hospital, Jamaica Plain MA 02130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Smith, Jeremy Taylor can be contacted via phone (617) 983-7295.

Contact Information

Primary practice address
1153 Centre Street Suite 56, Faulkner Hospital Jamaica Plain MA 02130
Phone: (617) 983-7295
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 228179 Massachusetts

Profile Details

NPI number 1063574903
LBN Legal business name Smith, Jeremy Taylor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jan 28th, 2014 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063574903 NPPES
Massachusetts Other 246799 MA STATE LICENSE
Massachusetts Other 228179 MA STATE LICENSE

Popular Providers