Johnstone, Michael T

Johnstone, Michael T is an individual health care provider with primary practice located at 736 Cambridge St St E'S Mob 3, Brighton MA 02135-2907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Johnstone, Michael T can be contacted via phone (617) 789-3047.

Contact Information

Primary practice address
736 Cambridge St St E'S Mob 3 Brighton MA 02135-2907
Phone: (617) 789-3047
Fax: (617) 789-5029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 60598 Massachusetts

Profile Details

NPI number 1235164336
LBN Legal business name Johnstone, Michael T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Oct 20th, 2011 - about 13 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 1235164336 NPPES
Massachusetts MEDICAID 110048563A
Massachusetts Other J09221

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