Will, Jerry P
Will, Jerry P is an individual health care provider with primary practice located at 15 B College Highway 15 B Southampton Optical, Southampton MA 01073. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Will, Jerry P can be contacted via phone (413) 527-5613.Contact Information
Primary practice address
15 B College Highway 15 B Southampton Optical
Southampton MA 01073
Phone: (413) 527-5613
Fax: (413) 527-3526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | MA4110 | Massachusetts |
Profile Details
| NPI number | 1861616955 |
|---|---|
| LBN Legal business name | Will, Jerry P |
| Credentials | DISPENSING OPTICIAN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1861616955 | NPPES |
| Massachusetts | MEDICAID | 0313033 |
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