Markham, Jay D

Markham, Jay D is an individual health care provider with primary practice located at 300 Stafford St Ste 102 , Springfield MA 01104-3581. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Markham, Jay D can be contacted via phone (413) 748-7095.

Contact Information

Primary practice address
300 Stafford St Ste 102 Springfield MA 01104-3581
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 72927 Massachusetts

Profile Details

NPI number 1427022508
LBN Legal business name Markham, Jay D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Jun 21st, 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 1427022508 NPPES
Massachusetts MEDICAID 3078671

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