Bayuk, Jonathan Lee
Bayuk, Jonathan Lee is an individual health care provider with primary practice located at 269 Locust St Suite 201, Northampton MA 01062-2003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Bayuk, Jonathan Lee can be contacted via phone (413) 586-0769.Contact Information
Primary practice address
269 Locust St Suite 201
Northampton MA 01062-2003
Phone: (413) 586-0769
Fax: (413) 584-0392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 223052 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223052 | Massachusetts |
Profile Details
| NPI number | 1588637102 |
|---|---|
| LBN Legal business name | Bayuk, Jonathan Lee |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Feb 13th, 2015 - about 11 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 | 1588637102 | NPPES |
| Massachusetts | MEDICAID | 110040659/A | |
| Massachusetts | Other | P00470879 |
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