Reyes, Michael A

Reyes, Michael A is an individual health care provider with primary practice located at 333 Sw Cutoff , Northborough MA 01532-2130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Reyes, Michael A can be contacted via phone (774) 570-5000.

Contact Information

Primary practice address
333 Sw Cutoff Northborough MA 01532-2130
Fax: (774) 570-5070
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 212154 Massachusetts

Profile Details

NPI number 1528040656
LBN Legal business name Reyes, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Nov 23rd, 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 1528040656 NPPES
Massachusetts MEDICAID 2010682

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