Jenkins, Stephen A

Jenkins, Stephen A is an individual health care provider with primary practice located at 330 Baker Ave , Concord MA 01742-2129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jenkins, Stephen A can be contacted via phone (978) 287-9400.

Contact Information

Primary practice address
330 Baker Ave Concord MA 01742-2129
Phone: (978) 287-9400
Fax: (978) 287-9408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50863 Massachusetts

Profile Details

NPI number 1447238928
LBN Legal business name Jenkins, Stephen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Feb 18th, 2021 - about 5 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 1447238928 NPPES
Massachusetts MEDICAID 6186866
Massachusetts Other 0016159
Massachusetts Other 7793
Massachusetts Other B10207702
Massachusetts Other 1202094
Massachusetts Other J03363
Massachusetts Other 4019954
Massachusetts Other 702904

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