Maypole, John S
Maypole, John S is an individual health care provider with primary practice located at 850 Harrison Ave Yacc5, Boston MA 02118-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Maypole, John S can be contacted via phone (617) 414-4841.Contact Information
Primary practice address
850 Harrison Ave Yacc5
Boston MA 02118-4001
Phone: (617) 414-4841
Fax: (617) 414-7915
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 159322 | Massachusetts |
Profile Details
| NPI number | 1356330476 |
|---|---|
| LBN Legal business name | Maypole, John S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Apr 23rd, 2014 - about 12 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 | 1356330476 | NPPES |
| Massachusetts | MEDICAID | 110000603A |
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