Smith, Michael William Gauvin

Smith, Michael William Gauvin is an sole proprietor health care provider with primary practice located at 30 Piedmont Ave , Waltham MA 02451-3013. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Smith, Michael William Gauvin can be contacted via phone (781) 367-0841.

Contact Information

Primary practice address
30 Piedmont Ave Waltham MA 02451-3013
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 12020466 Massachusetts

Profile Details

NPI number 1306967682
LBN Legal business name Smith, Michael William Gauvin
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2007
Last updated Jul 17th, 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 1306967682 NPPES
Massachusetts Other 5731 BLUE CROSS AND BLUE SHIEL

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