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Contact Information

JACK DEANUD
39 HOLDEN ST
ATTLEBORO, MA02703-1717
 Phone: 508-431-9031
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JACK DEANUD · (Male)

NPI # 1922815950
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2024
Last updated 12/13/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • MA License # PN65979
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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