Braimon, Jennifer C

Braimon, Jennifer C is an individual health care provider with primary practice located at One Essex Center Drive Lahey Clinic, Peabody MA 01960-2901. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Braimon, Jennifer C can be contacted via phone (978) 977-6336.

Contact Information

Primary practice address
One Essex Center Drive Lahey Clinic Peabody MA 01960-2901
Phone: (978) 977-6336
Fax: (978) 538-4712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 77394 Massachusetts

Profile Details

NPI number 1649373986
LBN Legal business name Braimon, Jennifer C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Sep 27th, 2012 - about 14 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 1649373986 NPPES
Massachusetts MEDICAID 110059748A

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