Wacks, Jerry
Wacks, Jerry is an sole proprietor health care provider with primary practice located at 35 Bedford St Suite 1, Lexington MA 02420-4320. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Wacks, Jerry can be contacted via phone (781) 861-6767.Contact Information
Primary practice address
35 Bedford St Suite 1
Lexington MA 02420-4320
Phone: (781) 861-6767
Fax: (781) 861-6953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 28783 | Massachusetts |
Profile Details
| NPI number | 1699827881 |
|---|---|
| LBN Legal business name | Wacks, Jerry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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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