Pendolino, Michael Todd

Pendolino, Michael Todd is an individual health care provider with primary practice located at 20 Cummings Park , Woburn MA 01801. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Pendolino, Michael Todd can be contacted via phone (781) 938-9400.

Contact Information

Primary practice address
20 Cummings Park Woburn MA 01801
Phone: (781) 938-9400
Fax: (781) 938-9323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2152 Massachusetts

Profile Details

NPI number 1194739573
LBN Legal business name Pendolino, Michael Todd
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Jul 8th, 2007 - about 19 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 1194739573 NPPES
Other 2611483 AETNA
Other 460083 AETNA
Other AA7544 AETNA
Other Y39772 AETNA
MEDICAID 1697021 AETNA

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