Rourke, Michael J.

Rourke, Michael J. is an individual health care provider with primary practice located at 110 Liberty St Suite 1300, Brockton MA 02301-5521. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Rourke, Michael J. can be contacted via phone (508) 580-0144.

Contact Information

Primary practice address
110 Liberty St Suite 1300 Brockton MA 02301-5521
Phone: (508) 580-0144
Fax: (508) 580-0449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11729 Massachusetts

Profile Details

NPI number 1124096052
LBN Legal business name Rourke, Michael J.
Credentials M.S.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated May 22nd, 2008 - about 16 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 1124096052 NPPES
Massachusetts Other 417280 TUFTS
Massachusetts Other 1017758 TUFTS
Massachusetts Other Y67392 TUFTS
Massachusetts Other 00000003237 TUFTS
Massachusetts MEDICAID 0316547 TUFTS

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