Jolley, Brian J
Jolley, Brian J is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Rd, Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Jolley, Brian J can be contacted via phone (781) 372-7000.Contact Information
Primary practice address
Lahey Clinic 41 Mall Rd
Burlington MA 01805-0001
Phone: (781) 372-7000
Fax: (781) 372-7009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 202771 | Massachusetts |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 202771 | Massachusetts |
Profile Details
| NPI number | 1033274832 |
|---|---|
| LBN Legal business name | Jolley, Brian J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 22nd, 2006 |
| Last updated | Jun 13th, 2011 - about 15 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 | 1033274832 | NPPES |
| Massachusetts | MEDICAID | 110062114A |
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