Jinks, Dermot Connole

Jinks, Dermot Connole is an sole proprietor health care provider with primary practice located at 49 Central St Suite 1A, Peabody MA 01960-4375. He recently has only one registered license in Group / Groups of Doctors / Single Specialty, which is considered as his primary health care specialty. Jinks, Dermot Connole can be contacted via phone (978) 531-0202.

Contact Information

Primary practice address
49 Central St Suite 1A Peabody MA 01960-4375
Phone: (978) 531-0202
Fax: (978) 532-7076
Website:
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Health care specialties

SpecialtyCodeLicense #State
Group / Groups of Doctors / Single Specialty 193400000X X011848 New York

Profile Details

NPI number 1528161817
LBN Legal business name Jinks, Dermot Connole
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 5th, 2006
Last updated Oct 26th, 2016 - about 10 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 1528161817 NPPES
Massachusetts Other Y36302 BLUE CROSS BLUE SHIELD #

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