Astilla, Michael
Astilla, Michael is an individual health care provider with primary practice located at 314 Crutchfield St , Durham NC 27704-2725. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Astilla, Michael can be contacted via phone (919) 471-4994.Contact Information
Primary practice address
314 Crutchfield St
Durham NC 27704-2725
Phone: (919) 471-4994
Fax: (919) 471-4995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1972624856 |
|---|---|
| LBN Legal business name | Astilla, Michael |
| Credentials | MS,CO,BOCP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 2nd, 2007 |
| Last updated | Apr 30th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972624856 | NPPES |
| North Carolina | MEDICAID | 7795027 |
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