Souza, Jennifer M.

Souza, Jennifer M. is an individual health care provider with primary practice located at 18 Washington St , Foxboro MA 02035-1021. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Souza, Jennifer M. can be contacted via phone (508) 698-0044.

Contact Information

Primary practice address
18 Washington St Foxboro MA 02035-1021
Phone: (508) 698-0044
Fax: (508) 698-5373
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 209230 Massachusetts

Profile Details

NPI number 1063429165
LBN Legal business name Souza, Jennifer M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Dec 12th, 2011 - about 14 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 1063429165 NPPES
Massachusetts Other 92334 FALLON
Massachusetts Other 468086 FALLON
Massachusetts Other AA30839 FALLON
Massachusetts Other 000000030830 FALLON
Massachusetts Other 410399 FALLON
Massachusetts Other 1611585 FALLON
Massachusetts Other J25249 FALLON
Massachusetts MEDICAID 0165336 FALLON

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