Mike Elliot Govoni, RRT

Individual provider Active NPI Home Health Registered Respiratory Therapist · Douglas, MA

NPI 1396398202 · NPPES record last updated Jul 19, 2019

Key facts

NPI
1396398202
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Respiratory Therapist 2279H0200X
License
2970 (MA)
Practice address
106 SE Main St
Douglas, MA 01516-2445
Phone
(413) 426-7571
NPI assigned
Jul 19, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2970MAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Respiratory Therapist 2279H0200X 2970 MA Yes

Addresses

Primary practice location

106 SE Main St
Douglas, MA 01516-2445

Mailing address

106 SE Main St
Douglas, MA 01516-2445
Phone (413) 426-7571

Other providers in Douglas, MA

All providers in Douglas, MA · Home Health Registered Respiratory Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.