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
Phone: (413) 748-7095
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427022508 | NPPES |
| Massachusetts | MEDICAID | 3078671 |
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