Starer, Marc Jason
Starer, Marc Jason is an individual health care provider with primary practice located at 444 Montgomery St , Chicopee MA 01020-1969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Starer, Marc Jason can be contacted via phone (413) 594-3111.Contact Information
Primary practice address
444 Montgomery St
Chicopee MA 01020-1969
Phone: (413) 594-3111
Fax: (413) 598-7115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 242105 | Massachusetts |
Profile Details
| NPI number | 1205921855 |
|---|---|
| LBN Legal business name | Starer, Marc Jason |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Apr 7th, 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 | 1205921855 | NPPES |
| Alabama | MEDICAID | 009932119 | |
| Alabama | MEDICAID | 110083805A | |
| Alabama | Other | 51001477 |
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