Vanderpool, Everett John
Vanderpool, Everett John is an individual health care provider with primary practice located at 300 Ocean Ave Revere Healthcare Center, Revere MA 02151-3675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vanderpool, Everett John can be contacted via phone (781) 485-6316.Contact Information
Primary practice address
300 Ocean Ave Revere Healthcare Center
Revere MA 02151-3675
Phone: (781) 485-6316
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 202747 | Massachusetts |
Profile Details
| NPI number | 1346202470 |
|---|---|
| LBN Legal business name | Vanderpool, Everett John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1346202470 | NPPES |
| Massachusetts | Other | 202747 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 0107760 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J22872 | TUFTS HEALTH PLAN |
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