Irizarry, Michael Carl
Irizarry, Michael Carl is an individual health care provider with primary practice located at 15 Parkman St Wac 830, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Irizarry, Michael Carl can be contacted via phone (617) 726-1728.Contact Information
Primary practice address
15 Parkman St Wac 830
Boston MA 02114-3117
Phone: (617) 726-1728
Fax: (617) 726-4101
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 79337 | Massachusetts |
Profile Details
| NPI number | 1790775237 |
|---|---|
| LBN Legal business name | Irizarry, Michael Carl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790775237 | NPPES |
| Massachusetts | MEDICAID | 3161536 | |
| Massachusetts | Other | 727842 | |
| Massachusetts | Other | J17294 |
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