Pendolino, Michael Todd
Pendolino, Michael Todd is an individual health care provider with primary practice located at 20 Cummings Park , Woburn MA 01801. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pendolino, Michael Todd can be contacted via phone (781) 938-9400.Contact Information
Primary practice address
20 Cummings Park
Woburn MA 01801
Phone: (781) 938-9400
Fax: (781) 938-9323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 2152 | Massachusetts |
Profile Details
| NPI number | 1194739573 |
|---|---|
| LBN Legal business name | Pendolino, Michael Todd |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194739573 | NPPES |
| Other | 2611483 | AETNA | |
| Other | 460083 | AETNA | |
| Other | AA7544 | AETNA | |
| Other | Y39772 | AETNA | |
| MEDICAID | 1697021 | AETNA |
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