Augustine, Michael Joseph

Augustine, Michael Joseph is an individual health care provider with primary practice located at 308 Brynn Marr Rd , Jacksonville NC 28546-7023. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Augustine, Michael Joseph can be contacted via phone (910) 478-9701.

Contact Information

Primary practice address
308 Brynn Marr Rd Jacksonville NC 28546-7023
Phone: (910) 478-9701
Fax: (910) 478-9703
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X P19582 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT000999A Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT017416 Pennsylvania

Profile Details

NPI number 1861485377
LBN Legal business name Augustine, Michael Joseph
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jun 10th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861485377 NPPES
Pennsylvania Other AU1736120 BLUE SHIELD HIGHMARK
Pennsylvania Other 819311 BLUE SHIELD HIGHMARK

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