Gervagin, Dmitriy

Gervagin, Dmitriy is an sole proprietor health care provider with primary practice located at 44 High St , Newton MA 02464-1232. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Gervagin, Dmitriy can be contacted via phone (617) 828-4516.

Contact Information

Primary practice address
44 High St Newton MA 02464-1232
Phone: (617) 828-4516
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 10680 Massachusetts

Profile Details

NPI number 1184988156
LBN Legal business name Gervagin, Dmitriy
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2012
Last updated Jun 25th, 2012 - about 13 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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