Active NPIIndividual providerSole proprietor

Jacqueline Spain, MD

Pediatrics in Holyoke, Massachusetts

NPI Number1063482339
Practice location
230 Maple St, Holyoke, MA 01040-5124
Fax
413-420-2260
Last updated
October 17, 2011

Jacqueline Spain is a Pediatrics based in Holyoke, MA. Jacqueline Spain practices in Holyoke, MA and has the professional credentials of MD. The NPI Number for Jacqueline Spain is 1063482339 and holds a License No. 77663 (MA). The current practice location address for Jacqueline Spain is 230 Maple St, Holyoke, MA 01040-5124 and can be reached out via phone at 413-420-2200 and via fax at 413-420-2260.

Provider Profile Details

NPI Number
1063482339
Provider Name
Jacqueline Spain
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
230 Maple St, Holyoke, MA 01040-5124
Phone Number
413-420-2200
Fax Number
413-420-2260
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
January 26, 2006
Last Update Date
October 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Maple St
Holyoke, MA 01040-5124
Zip
01040-5124
Phone Number
413-420-2200
Fax Number
413-420-2260
Holyoke, MA 01040Get directions →

Provider Business Mailing Address Details

Address
Po Box 6260
230 Maple St
Holyoke, MA 01041-6260
City
Holyoke
State
MA
Zip
01041-6260
Phone Number
413-420-2200
Fax Number
413-420-2260

License Information

License Number
77663
License State
MA
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jacqueline Spain, MD?

The NPI number of Jacqueline Spain, MD is 1063482339. It was assigned on January 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Jacqueline Spain, MD?

Jacqueline Spain, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 77663.

Where does Jacqueline Spain, MD practice?

The practice location is 230 Maple St, Holyoke, MA 01040-5124. The office can be reached at 413-420-2200 (phone) or 413-420-2260 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063482339 directly on the NPPES registry website.

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