Michalacos, Nikolaos

Michalacos, Nikolaos is an individual health care provider with primary practice located at 312 Bedford St , Whitman MA 02382-1859. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Michalacos, Nikolaos can be contacted via phone (781) 792-6000.

Contact Information

Primary practice address
312 Bedford St Whitman MA 02382-1859
Fax: (781) 792-6165
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 157162 Massachusetts

Profile Details

NPI number 1083697932
LBN Legal business name Michalacos, Nikolaos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Aug 25th, 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 1083697932 NPPES
Massachusetts MEDICAID 3182673

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