Johnston, Brendan Michael

Johnston, Brendan Michael is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Burlington MA 01805-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Johnston, Brendan Michael can be contacted via phone (781) 744-8000.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic Burlington MA 01805-0001
Phone: (781) 744-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN2259284 Massachusetts

Profile Details

NPI number 1104181171
LBN Legal business name Johnston, Brendan Michael
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2012
Last updated Dec 18th, 2012 - about 14 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 1104181171 NPPES
Massachusetts MEDICAID 110093601A

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