Stevens, Jacquelyn Brooke

Stevens, Jacquelyn Brooke is an sole proprietor health care provider with primary practice located at 452 Pleasant St Office Of Michael S. Wiedman, M.D., Malden MA 02148. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Stevens, Jacquelyn Brooke can be contacted via phone (781) 322-3224.

Contact Information

Primary practice address
452 Pleasant St Office Of Michael S. Wiedman, M.D. Malden MA 02148
Phone: (781) 322-3224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 158811 Massachusetts
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 158811 Massachusetts

Profile Details

NPI number 1275664658
LBN Legal business name Stevens, Jacquelyn Brooke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
Last updated Aug 25th, 2021 - about 5 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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