St John, Jeffrey L

St John, Jeffrey L is an individual health care provider with primary practice located at 777 North St Suite 203, Pittsfield MA 01201-4147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. St John, Jeffrey L can be contacted via phone (413) 499-8590.

Contact Information

Primary practice address
777 North St Suite 203 Pittsfield MA 01201-4147
Phone: (413) 499-8590
Fax: (413) 499-6410
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 231178 Massachusetts

Profile Details

NPI number 1750383170
LBN Legal business name St John, Jeffrey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jan 18th, 2024 - about last year

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 1750383170 NPPES
Massachusetts MEDICAID 2146568
Massachusetts Other 000000043487
Massachusetts MEDICAID 02635367
Massachusetts Other J41872
Massachusetts Other AA96200
Massachusetts Other 1750383170
Massachusetts Other 7903586
Massachusetts Other 3002785
Massachusetts Other 41385

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