Worthington, Michael G
Worthington, Michael G is an sole proprietor health care provider with primary practice located at 736 Cambridge St Sj3Id, Brighton MA 02135-2907. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Worthington, Michael G can be contacted via phone (617) 789-2372.Contact Information
Primary practice address
736 Cambridge St Sj3Id
Brighton MA 02135-2907
Phone: (617) 789-2372
Fax: (617) 789-5048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35437 | Massachusetts |
Profile Details
| NPI number | 1932206737 |
|---|---|
| LBN Legal business name | Worthington, Michael G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1932206737 | NPPES |
| Massachusetts | MEDICAID | 2035707 |
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