Merrell, Jennifer E

Merrell, Jennifer E is an individual health care provider with primary practice located at 1 Boston Medical Ctr Pl , Boston MA 02118-2908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Merrell, Jennifer E can be contacted via phone (617) 638-6950.

Contact Information

Primary practice address
1 Boston Medical Ctr Pl Boston MA 02118-2908
Phone: (617) 638-6950
Fax: (617) 638-6966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 208631 Massachusetts

Profile Details

NPI number 1669458865
LBN Legal business name Merrell, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Jun 7th, 2023 - about 3 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 1669458865 NPPES
Massachusetts MEDICAID 110002090A
Massachusetts MEDICAID 3073925

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