Dermot Connole Jinks in Peabody - Single Specialty

Dermot Connole Jinks - NPI 1528161817

Dermot Connole Jinks is a Single Specialty in Peabody, Massachusetts. Dermot Connole Jinks practices all healthcare services and medical treatments related to Single Specialty. The NPI Number for Dermot Connole Jinks is 1528161817. The last update date is 2016-10-26.

Dermot Connole Jinks's current location address is 49 Central St, Peabody, Massachusetts. You can contact this provider via phone number 9785310202 and fax number 9785327076. The mailing address for Dermot Connole Jinks is 49 Central St, Peabody, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Dermot Connole Jinks
Address 49 Central St, Peabody, Massachusetts
Phone Number 9785310202
Fax Number 9785327076
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1528161817
Provider Enumeration Date 2006-09-05
Last Updated Date 2016-10-26

Provider Mailing Address Detail

Address 49 Central St
City Peabody
State Massachusetts (MA)
Post Code 19604375
Phone Number 9785310202
Fax Number 9785327076

Provider's Primary Taxonomy Detail

Speciality Single Specialty
Taxonomy 193400000X
Licence No X011848
Definition:
A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
Y36302 MA BLUE CROSS BLUE SHIELD #

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FAQs about Dermot Connole Jinks

What is the unique 10-digit identification code issued to Dermot Connole Jinks by the Centers for Medicare & Medicaid Services?

The Dermot Connole Jinks has been assigned the NPI (National Provider Identifier) 1528161817 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Dermot Connole Jinks?

The Dermot Connole Jinks is situated at 49 Central St, in the city of Peabody, state of MA, with the zip code 19604375.

What is the area of specialization for Dermot Connole Jinks, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Dermot Connole Jinks is Single Specialty, and the corresponding taxonomy code that categorizes this area of expertise is 193400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1528161817 to Dermot Connole Jinks?

The Centers for Medicare & Medicaid Services assigned the 1528161817 to Dermot Connole Jinks on 2006-09-05.

When was the information regarding Dermot Connole Jinks most recently updated?

The details pertaining to the Dermot Connole Jinks, including its address, specialty, and other relevant information, were last refreshed on 2016-10-26.

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