Vera, Juan C
Vera, Juan C is an sole proprietor health care provider with primary practice located at 212 Ashmont St , Dorchester Center MA 02124-3802. He recently has only one registered license in Ambulatory Health Care Facilities / Oncology, which is considered as his primary health care specialty. Vera, Juan C can be contacted via phone (618) 825-7333.Contact Information
Primary practice address
212 Ashmont St
Dorchester Center MA 02124-3802
Phone: (618) 825-7333
Fax: (617) 738-1450
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oncology | 261QX0200X | 42125 | Massachusetts |
Profile Details
| NPI number | 1760571087 |
|---|---|
| LBN Legal business name | Vera, Juan C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 25th, 2016 - about 10 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 | 1760571087 | NPPES |
| Massachusetts | MEDICAID | 0102458 |
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