Vera, Juan C

Vera, Juan C is an sole proprietor health care provider with primary practice located at 212 Ashmont St , Dorchester Center MA 02124-3802. He recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as his primary health care specialty. Vera, Juan C can be contacted via phone (618) 825-7333.

Contact Information

Primary practice address
212 Ashmont St Dorchester Center MA 02124-3802
Phone: (618) 825-7333
Fax: (617) 738-1450
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oncology 261QX0200X 42125 Massachusetts

Profile Details

NPI number 1760571087
LBN Legal business name Vera, Juan C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Feb 25th, 2016 - about 8 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 1760571087 NPPES
Massachusetts MEDICAID 0102458

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