Gershon, Michael

Gershon, Michael is an individual health care provider with primary practice located at 889 Centerville Rd , Warwick RI 02886-4342. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gershon, Michael can be contacted via phone (401) 821-4100.

Contact Information

Primary practice address
889 Centerville Rd Warwick RI 02886-4342
Phone: (401) 821-4100
Fax: (401) 823-9180
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS00171 Rhode Island

Profile Details

NPI number 1437275104
LBN Legal business name Gershon, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Jul 9th, 2007 - about 17 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 1437275104 NPPES
Rhode Island Other 6108438 UNITED HAELTH PROVIDER #
Rhode Island Other 0000030545 UNITED HAELTH PROVIDER #
Rhode Island MEDICAID MG51041 UNITED HAELTH PROVIDER #
Rhode Island Other 000873 UNITED HAELTH PROVIDER #

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