Watkins, Michael T
Watkins, Michael T is an sole proprietor health care provider with primary practice located at 22 Bowers St Apt 610 , Lowell MA 01854-3581. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Watkins, Michael T can be contacted via phone (978) 771-5575.Contact Information
Primary practice address
22 Bowers St Apt 610
Lowell MA 01854-3581
Phone: (978) 771-5575
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | 201574 | Massachusetts |
Profile Details
| NPI number | 1407420490 |
|---|---|
| LBN Legal business name | Watkins, Michael T |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 14th, 2021 |
| Last updated | May 14th, 2021 - about 4 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 | 1407420490 | NPPES |
| Massachusetts | Other | 201574 | TRANSFORMATION CENTER BOSTON |
| Massachusetts | MEDICAID | 201574 | TRANSFORMATION CENTER BOSTON |
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