Rundlett, Michael

Rundlett, Michael is an individual health care provider with primary practice located at 169 Libbey Industrial Pkwy 2Nd Floor, Weymouth MA 02189-3101. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Rundlett, Michael can be contacted via phone (781) 682-1060.

Contact Information

Primary practice address
169 Libbey Industrial Pkwy 2Nd Floor Weymouth MA 02189-3101
Phone: (781) 682-1060
Fax: (781) 682-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4877 Massachusetts
Behavioral Health & Social Service Providers / Health Service 103TH0100X 4877 Massachusetts

Profile Details

NPI number 1306936505
LBN Legal business name Rundlett, Michael
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Mar 8th, 2010 - about 14 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 1306936505 NPPES
Massachusetts Other 110251000 MAGELLAN PROVIDER NUMBER
Massachusetts Other W04645 MAGELLAN PROVIDER NUMBER
Massachusetts Other 020923 MAGELLAN PROVIDER NUMBER
Massachusetts Other 6192642 MAGELLAN PROVIDER NUMBER

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