Ejiofor, Michelle

Ejiofor, Michelle is an individual health care provider with primary practice located at 680 Centre St , Brockton MA 02302-3308. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Ejiofor, Michelle can be contacted via phone (717) 222-8138.

Contact Information

Primary practice address
680 Centre St Brockton MA 02302-3308
Phone: (717) 222-8138
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA4550 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X C0004561 Maryland

Profile Details

NPI number 1942586292
LBN Legal business name Ejiofor, Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2011
Last updated Jan 22nd, 2021 - about 4 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.

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