Ennis, Michael C.

Ennis, Michael C. is an individual health care provider with primary practice located at 279 Lincoln St Hahnemann Family Health Center, Worcester MA 01605-2120. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ennis, Michael C. can be contacted via phone (508) 334-8830.

Contact Information

Primary practice address
279 Lincoln St Hahnemann Family Health Center Worcester MA 01605-2120
Phone: (508) 334-8830
Fax: (508) 334-8835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 53353 Massachusetts

Profile Details

NPI number 1861482663
LBN Legal business name Ennis, Michael C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Dec 16th, 2020 - about 6 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 1861482663 NPPES
Massachusetts MEDICAID 3006131

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