Maykel, Justin A

Maykel, Justin A is an individual health care provider with primary practice located at 67 Belmont St Colorectal Surgery, Worcester MA 01605-2657. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Maykel, Justin A can be contacted via phone (508) 334-8195.

Contact Information

Primary practice address
67 Belmont St Colorectal Surgery Worcester MA 01605-2657
Fax: (508) 334-8130
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 212159 Massachusetts

Profile Details

NPI number 1770564510
LBN Legal business name Maykel, Justin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Nov 5th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770564510 NPPES
Massachusetts MEDICAID 110004166A

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