Protiva, Janet S

Protiva, Janet S is an individual health care provider with primary practice located at 4199 Washington St , Roslindale MA 02131. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Protiva, Janet S can be contacted via phone (617) 323-4440.

Contact Information

Primary practice address
4199 Washington St Roslindale MA 02131
Phone: (617) 323-4440
Fax: (617) 323-7870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 81601 Massachusetts

Profile Details

NPI number 1639158926
LBN Legal business name Protiva, Janet S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Aug 17th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639158926 NPPES
Other 202221BMC HARVARD PILGRIM
MEDICAID 3206564 HARVARD PILGRIM
Other J22092 HARVARD PILGRIM

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