Spain, Jacqueline

Spain, Jacqueline is an sole proprietor health care provider with primary practice located at 230 Maple St , Holyoke MA 01040-5124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Spain, Jacqueline can be contacted via phone (413) 420-2200.

Contact Information

Primary practice address
230 Maple St Holyoke MA 01040-5124
Fax: (413) 420-2260
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 77663 Massachusetts

Profile Details

NPI number 1063482339
LBN Legal business name Spain, Jacqueline
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2006
Last updated Oct 17th, 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 1063482339 NPPES
Massachusetts Other 8339 BOSTON HEALTH NET
Massachusetts Other 0010026 BOSTON HEALTH NET
Massachusetts Other 976243 BOSTON HEALTH NET
Massachusetts Other SPJ18312 BOSTON HEALTH NET

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