Fidalgo-Pennes, Michael Louis

Fidalgo-Pennes, Michael Louis is an sole proprietor health care provider with primary practice located at 321 Fortune Blvd , Milford MA 01757-1750. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Ambulatory Health Care Facilities / Community Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is his primary health care specialty. Fidalgo-Pennes, Michael Louis can be contacted via phone (508) 478-0207.

Contact Information

Primary practice address
321 Fortune Blvd Milford MA 01757-1750
Phone: (508) 478-0207
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Massachusetts
Ambulatory Health Care Facilities / Community Health 261QC1500X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1144820374
LBN Legal business name Fidalgo-Pennes, Michael Louis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2020
Last updated Jun 2nd, 2022 - about 3 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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