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Contact Information

BENJAMIN MICHON, ATC, LAT, CSCS
1844 COMMONWEALTH AVE
AUBURNDALE, MA02466-2709
 Phone: 617-243-2168
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

2081S0010X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BENJAMIN MICHON · (Male)

NPI # 1558949099
Status Active
Credentials ATC, LAT, CSCS
Entity Individual
Enumeration date 03/29/2021
Last updated 03/29/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 3367
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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