Walker, Jennifer D

Walker, Jennifer D is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as her primary health care specialty. Walker, Jennifer D can be contacted via phone (508) 334-3278.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3278
Fax: (508) 334-7284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 204879 Massachusetts

Profile Details

NPI number 1710978267
LBN Legal business name Walker, Jennifer D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Nov 16th, 2020 - about 6 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 1710978267 NPPES
Massachusetts Other 204879 TUFTS HEALTH PLAN
Massachusetts MEDICAID 110001141A TUFTS HEALTH PLAN
Massachusetts Other J23088 TUFTS HEALTH PLAN

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