Michelle Jane Mailloux
Sports Medicine
484 Main St Ste 600
Worcester
, Massachusetts 01608-1881
Michelle Jane Mailloux
Sports Medicine
484 Main St Ste 600
Worcester
, Massachusetts 01608-1881
(978) 761-5322
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About
Features
Specialties
- Sports Medicine
Languages spoken
- English
Location
First Address
- Michelle Jane Mailloux
- 41 Briar Ave
- Lowell, MA
- Zip : 01852-1641
- Phone : (978) 761-5322
Second Address
- Michelle Jane Mailloux
- 484 Main St Ste 600
- Worcester, MA
- Zip : 01608-1881
- Phone : (800) 244-2756
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081S0010X | Sports Medicine | 25187 | MA |
| Y | 213ES0000X | Sports Medicine | 25187 | MA |
National Provider Identifier
| NPI | 1316547201 |
|---|---|
| Provider Name | Michelle Jane Mailloux |
| First Address | Lowell, MA 01852-1641 |
| Second Address | Worcester, MA 01608-1881 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/10/2020 |
| Last Update Date | 29/10/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.