Michelle Ejiofor
Physician Assistant, Surgical in Brockton, Massachusetts
1942586292- Practice location
- 680 Centre St, Brockton, MA 02302-3308
- Phone
- 717-222-8138
- Fax
- —
- Last updated
- January 22, 2021
Michelle Ejiofor is a Physician Assistant, Surgical based in Brockton, MA. Michelle Ejiofor practices in Brockton, MA. The NPI Number for Michelle Ejiofor is 1942586292 and holds a License No. PA4550 (MA). The current practice location address for Michelle Ejiofor is 680 Centre St, Brockton, MA 02302-3308 and can be reached out via phone at 717-222-8138.
Provider Profile Details
- NPI Number
- 1942586292
- Provider Name
- Michelle Ejiofor
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 680 Centre St, Brockton, MA 02302-3308
- Phone Number
- 717-222-8138
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Other Names
- Michelle Graeff (Former Name)
- Provider Enumeration Date
- November 1, 2011
- Last Update Date
- January 22, 2021
- Certification Date
- January 22, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 680 Centre St
Brockton, MA 02302-3308 - City
- Brockton
- State
- Massachusetts
- Zip
- 02302-3308
- Phone Number
- 717-222-8138
Provider Business Mailing Address Details
- Address
- 110 Liberty St
Brockton, MA 02301-5674 - City
- Brockton
- State
- MA
- Zip
- 02301-5674
- Phone Number
- 508-565-3055
License Information
- License Number (1)
- PA4550
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X · Primary
- License Number (2)
- C0004561
- License State (2)
- MD
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near Brockton, MA
View all Physician Assistant, Surgical providers in Brockton →- Aki IshidaPhysician Assistant, Surgical · NPI 1346861531
- Alexis H Chen, PA-CPhysician Assistant, Surgical · NPI 1477195089
- Ian R Fair, PA-CPhysician Assistant, Surgical · NPI 1457284440
- James V Sauro, PAPhysician Assistant, Surgical · NPI 1265417042
- Kelly R Ridge, PACPhysician Assistant, Surgical · NPI 1992789739
- Matthew K Haga, PAPhysician Assistant, Surgical · NPI 1316311723
Frequently Asked Questions
What is the NPI number of Michelle Ejiofor?
The NPI number of Michelle Ejiofor is 1942586292. It was assigned on November 1, 2011 and is currently active in the NPPES registry.
What is the specialty of Michelle Ejiofor?
Michelle Ejiofor is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number PA4550.
Where does Michelle Ejiofor practice?
The practice location is 680 Centre St, Brockton, MA 02302-3308. The office can be reached at 717-222-8138 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1942586292 directly on the NPPES registry website.