Macvicar, Jessie H

Macvicar, Jessie H is an individual health care provider with primary practice located at 1 Pearl St Suite 2000, Brockton MA 02301. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Macvicar, Jessie H can be contacted via phone (508) 584-4104.

Contact Information

Primary practice address
1 Pearl St Suite 2000 Brockton MA 02301
Phone: (508) 584-4104
Fax: (508) 584-2053
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 206882 Massachusetts

Profile Details

NPI number 1912988874
LBN Legal business name Macvicar, Jessie H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jun 2nd, 2026 - about 5 months 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 1912988874 NPPES
Massachusetts MEDICAID 110005045A
Massachusetts MEDICAID 0161730

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