Odiet, Jeff
Odiet, Jeff is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Odiet, Jeff can be contacted via phone (978) 532-2800.Contact Information
Primary practice address
2 Essex Center Dr
Peabody MA 01960-2902
Phone: (978) 532-2800
Fax: (978) 977-4491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 160253 | Massachusetts |
Profile Details
| NPI number | 1093705832 |
|---|---|
| LBN Legal business name | Odiet, Jeff |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jul 12th, 2011 - about 15 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 | 1093705832 | NPPES |
| Massachusetts | MEDICAID | 3194671 |
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