Individual
JACOB ELLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6106
(617) 732-5500
Mailing address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5775
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
390200000X
MA
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us