Jolles, Jon R

Jolles, Jon R is an individual health care provider with primary practice located at 51 Mill St Building E - 17, Hanover MA 02339-1641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Jolles, Jon R can be contacted via phone (781) 826-2131.

Contact Information

Primary practice address
51 Mill St Building E - 17 Hanover MA 02339-1641
Phone: (781) 826-2131
Fax: (781) 826-4513
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 45558 Massachusetts

Profile Details

NPI number 1235120601
LBN Legal business name Jolles, Jon R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235120601 NPPES
Massachusetts Other JOJ08024 BCBS
Massachusetts MEDICAID 0194069 BCBS
Massachusetts Other 20603 BCBS
Massachusetts Other 3552812 BCBS
Massachusetts Other 721287 BCBS
Massachusetts Other 1200529 BCBS

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