Fewkes, Jessica L.
Fewkes, Jessica L. is an sole proprietor health care provider with primary practice located at 243 Charles St , Boston MA 02114-3002. She recently has only one registered license in Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, which is considered as her primary health care specialty. Fewkes, Jessica L. can be contacted via phone (617) 573-4102.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 50939 | Massachusetts |
Profile Details
| NPI number | 1295726396 |
|---|---|
| LBN Legal business name | Fewkes, Jessica L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Nov 7th, 2011 - about 15 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 | 1295726396 | NPPES |
| Massachusetts | MEDICAID | 6172903 |
Popular Providers
-
Massey, Paul R
221 Longwood Ave , Boston MA 02115-5804 -
Weiss, Jonathan
330 Brookline Avenue - Shapiro 2 Beth Israel Deaconess Medical Center, Boston MA 02215 -
Eisen, Richard Franklin
725 Albany St # 8B , Boston MA 02118-3549 -
Ecker, Richard I
706 Ne Evans St , Mcminnville OR 97128-3926 -
Buzzell, Robert A
751 N Rutledge St , Springfield IL 62702-4909 -
Richey, Patricia M
725 Albany Street, Suite 8B Shapiro Bldg., Boston MA 02118 -
Yancovitz, Molly
243 Charles St , Boston MA 02114-3002 -
Peterson, Steve Leroy
1009 North State Of Franklin Access Road , Johnson City TN 37604