Rhoads, Jaclyn M.

Rhoads, Jaclyn M. is an individual health care provider with primary practice located at 881 Commonwealth Ave , Boston MA 02215-1390. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Rhoads, Jaclyn M. can be contacted via phone (617) 353-3569.

Contact Information

Primary practice address
881 Commonwealth Ave Boston MA 02215-1390
Phone: (617) 353-3569
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 278066 Massachusetts

Profile Details

NPI number 1861647596
LBN Legal business name Rhoads, Jaclyn M.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2008
Last updated Mar 16th, 2015 - about 11 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 1861647596 NPPES
Massachusetts Other 278066 RNCS

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