Charles, Jean B

Charles, Jean B is an individual health care provider with primary practice located at 2110 Dorchester Ave Suite 306, Dorchester Center MA 02124-5628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Charles, Jean B can be contacted via phone (617) 296-1828.

Contact Information

Primary practice address
2110 Dorchester Ave Suite 306 Dorchester Center MA 02124-5628
Phone: (617) 296-1828
Fax: (617) 296-5717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 056584 Massachusetts

Profile Details

NPI number 1396940326
LBN Legal business name Charles, Jean B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2007
Last updated Jul 8th, 2007 - about 19 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 1396940326 NPPES
Massachusetts MEDICAID 3071413

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