Salem, George

Salem, George is an sole proprietor health care provider with primary practice located at 1380 Elm St , West Springfield MA 01089-1809. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Salem, George can be contacted via phone (413) 737-2360.

Contact Information

Primary practice address
1380 Elm St West Springfield MA 01089-1809
Phone: (413) 737-2360
Fax: (413) 737-1718
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1824 Massachusetts

Profile Details

NPI number 1144308677
LBN Legal business name Salem, George
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144308677 NPPES
Massachusetts MEDICAID 0361879
Massachusetts Other 5019518

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