Jacovoni, Martha

Jacovoni, Martha is an sole proprietor health care provider with primary practice located at 56 Leonard St Suite 7, Foxboro MA 02035-2939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Jacovoni, Martha can be contacted via phone (508) 543-2206.

Contact Information

Primary practice address
56 Leonard St Suite 7 Foxboro MA 02035-2939
Fax: (508) 543-2231
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 110937 Massachusetts

Profile Details

NPI number 1104894005
LBN Legal business name Jacovoni, Martha
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2006
Last updated Jul 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104894005 NPPES
Massachusetts Other NP1119 BLUE CROSS OF MASS

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