Mitchon, Gregory James

Mitchon, Gregory James is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Anesthesiology, Pharmacy Service Providers / Pharmacist. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mitchon, Gregory James can be contacted via phone (508) 334-3271.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Phone: (508) 334-3271
Fax: (508) 856-5911
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 282487 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 282487 Massachusetts
Pharmacy Service Providers / Pharmacist 183500000X 50033 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ML60558709 Washington

Profile Details

NPI number 1902174766
LBN Legal business name Mitchon, Gregory James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2011
Last updated Dec 8th, 2023 - about last year

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 1902174766 NPPES
Massachusetts MEDICAID 110159667A

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