Eten, John L
Eten, John L is an individual health care provider with primary practice located at 204 Main St Orleans Medical Center, P.C., Orleans MA 02653-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Eten, John L can be contacted via phone (508) 255-8825.Contact Information
Primary practice address
204 Main St Orleans Medical Center, P.C.
Orleans MA 02653-3428
Phone: (508) 255-8825
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51173 | Massachusetts |
Profile Details
| NPI number | 1649239757 |
|---|---|
| LBN Legal business name | Eten, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2006 |
| Last updated | Jun 29th, 2010 - about 16 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 | 1649239757 | NPPES |
| Other | 01-00821 | UNITED HEALTHCARE | |
| MEDICAID | 6185932 | UNITED HEALTHCARE | |
| Other | 723878 | UNITED HEALTHCARE | |
| Other | B10436901 | UNITED HEALTHCARE | |
| Other | 000000031977 | UNITED HEALTHCARE | |
| Other | 28599 | UNITED HEALTHCARE | |
| Other | 7725 | UNITED HEALTHCARE | |
| Other | 080130572 | UNITED HEALTHCARE | |
| Other | J03410 | UNITED HEALTHCARE |
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