Herman, John Benjamin
Herman, John Benjamin is an individual health care provider with primary practice located at 55 Fruit St Bul 3, Boston MA 02114-2621. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Herman, John Benjamin can be contacted via phone (617) 726-2993.Contact Information
Primary practice address
55 Fruit St Bul 3
Boston MA 02114-2621
Phone: (617) 726-2993
Fax: (617) 724-8479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 49318 | Massachusetts |
Profile Details
| NPI number | 1275523961 |
|---|---|
| LBN Legal business name | Herman, John Benjamin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2005 |
| Last updated | Nov 14th, 2012 - about 14 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 | 1275523961 | NPPES |
| Massachusetts | Other | 049318 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | 6171885 | TUFTS HEALTH PLAN |
| Massachusetts | Other | J02586 | TUFTS HEALTH PLAN |
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