Freshman, Jason Pelser
Freshman, Jason Pelser is an individual health care provider with primary practice located at 384 Lowell Street Suite 106, Wakefield MA 01880. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Freshman, Jason Pelser can be contacted via phone (781) 245-5788.Contact Information
Primary practice address
384 Lowell Street Suite 106
Wakefield MA 01880
Phone: (781) 245-5788
Fax: (781) 245-5793
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 10767 | Massachusetts |
Profile Details
| NPI number | 1962425835 |
|---|---|
| LBN Legal business name | Freshman, Jason Pelser |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962425835 | NPPES |
| Massachusetts | Other | X03643 | BCBS |
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