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
Phone: (413) 420-2200
Fax: (413) 420-2260
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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