Bean, Jonathan

Bean, Jonathan is an individual health care provider with primary practice located at 300 1St Ave Srh Spaulding Rehab Hospital, Boston MA 02129-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bean, Jonathan can be contacted via phone (617) 952-6800.

Contact Information

Primary practice address
300 1St Ave Srh Spaulding Rehab Hospital Boston MA 02129-3109
Phone: (617) 952-6800
Fax: (617) 573-2727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 77970 Massachusetts

Profile Details

NPI number 1730160953
LBN Legal business name Bean, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2016 - about 10 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 1730160953 NPPES
Massachusetts Other 077970 TUFTS HEALTH PLAN
Massachusetts Other J14109 TUFTS HEALTH PLAN
Massachusetts MEDICAID 3112730 TUFTS HEALTH PLAN

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