Vernon, James Kenneth

Vernon, James Kenneth is an individual health care provider with primary practice located at 2000 Washington Street Suite 365, Newton MA 02462-1627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vernon, James Kenneth can be contacted via phone (617) 244-5355.

Contact Information

Primary practice address
2000 Washington Street Suite 365 Newton MA 02462-1627
Phone: (617) 244-5355
Fax: (617) 244-8662
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 29133 Massachusetts

Profile Details

NPI number 1518963610
LBN Legal business name Vernon, James Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jun 11th, 2010 - about 15 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 1518963610 NPPES
Massachusetts MEDICAID 2084228

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