Glick, Michael E.

Glick, Michael E. is an individual health care provider with primary practice located at Lahey Clinic 41 Mall Road, Burlington MA 01805-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Glick, Michael E. can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
Lahey Clinic 41 Mall Road Burlington MA 01805-0001
Fax: (781) 744-5669
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 39944 Massachusetts

Profile Details

NPI number 1477651958
LBN Legal business name Glick, Michael E.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Sep 27th, 2012 - about 12 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 1477651958 NPPES
Massachusetts MEDICAID 110045439A

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