Segel, Jerome Dennis
Segel, Jerome Dennis is an sole proprietor health care provider with primary practice located at 20 Pond Rd , West Tisbury MA 02575. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Segel, Jerome Dennis can be contacted via phone (508) 696-6461.Contact Information
Primary practice address
20 Pond Rd
West Tisbury MA 02575
Phone: (508) 696-6461
Fax: (508) 696-6461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1701 | Massachusetts |
Profile Details
| NPI number | 1073501961 |
|---|---|
| LBN Legal business name | Segel, Jerome Dennis |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Oct 23rd, 2009 - about 17 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 | 1073501961 | NPPES |
| Massachusetts | MEDICAID | 0360821 |
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