Fellman, Michael
Fellman, Michael is an sole proprietor health care provider with primary practice located at 24 Julio Dr Ste 101 , Shrewsbury MA 01545-3053. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Fellman, Michael can be contacted via phone (508) 845-5500.Contact Information
Primary practice address
24 Julio Dr Ste 101
Shrewsbury MA 01545-3053
Phone: (508) 845-5500
Fax: (508) 276-1852
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 495 | Massachusetts |
Profile Details
| NPI number | 1063648962 |
|---|---|
| LBN Legal business name | Fellman, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2009 |
| Last updated | Feb 17th, 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 | 1063648962 | NPPES |
| Massachusetts | MEDICAID | 5102189 |
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