Germain, Michael J

Germain, Michael J is an individual health care provider with primary practice located at 100 Wason Ave Suite 200, Springfield MA 01107-1119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Germain, Michael J can be contacted via phone (413) 733-9666.

Contact Information

Primary practice address
100 Wason Ave Suite 200 Springfield MA 01107-1119
Fax: (413) 750-3432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 78857 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 035668 Connecticut

Profile Details

NPI number 1376533117
LBN Legal business name Germain, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Mar 5th, 2014 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376533117 NPPES
Connecticut MEDICAID 003087906
Connecticut MEDICAID 30206682
Connecticut MEDICAID 0144215
Connecticut MEDICAID 1004921
Connecticut MEDICAID 02492464

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