Johnson, Michelle Rullan

Johnson, Michelle Rullan is an sole proprietor health care provider with primary practice located at 119 Windsor St , Cambridge MA 02139-3647. She recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Primary Care, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Johnson, Michelle Rullan can be contacted via phone (617) 665-3600.

Contact Information

Primary practice address
119 Windsor St Cambridge MA 02139-3647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X 265139 Massachusetts
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 265139 Massachusetts
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 265139 Massachusetts

Profile Details

NPI number 1114285905
LBN Legal business name Johnson, Michelle Rullan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 30th, 2012
Last updated Aug 12th, 2021 - about 4 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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