Drake, Jonathan P

Drake, Jonathan P is an individual health care provider with primary practice located at 295 Varnum Ave Department Of Emergency Medicine, Lowell MA 01854-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Drake, Jonathan P can be contacted via phone (978) 937-6161.

Contact Information

Primary practice address
295 Varnum Ave Department Of Emergency Medicine Lowell MA 01854-2134
Phone: (978) 937-6161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 223799 Massachusetts

Profile Details

NPI number 1861451551
LBN Legal business name Drake, Jonathan P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 20th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861451551 NPPES
Massachusetts Other J42555 BLUE SHIELD
Massachusetts MEDICAID 2143445 BLUE SHIELD

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