Provider Demographics
NPI:1073883187
Name:GILCHRIST, MICHELLE R
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:R
Last Name:GILCHRIST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 DAVISON ST
Mailing Address - Street 2:3
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-2926
Mailing Address - Country:US
Mailing Address - Phone:857-234-6271
Mailing Address - Fax:
Practice Address - Street 1:35 DAVISON ST
Practice Address - Street 2:3
Practice Address - City:HYDE PARK
Practice Address - State:MA
Practice Address - Zip Code:02136-2926
Practice Address - Country:US
Practice Address - Phone:857-234-6271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care