Botticelli, Michael J

Botticelli, Michael J is an individual health care provider with primary practice located at 25500 Point Lookout Rd , Leonardtown MD 20650-2015. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics. Allopathic & Osteopathic Physicians / Obstetrics is his primary health care specialty. Botticelli, Michael J can be contacted via phone (301) 475-6001.

Contact Information

Primary practice address
25500 Point Lookout Rd Leonardtown MD 20650-2015
Phone: (301) 475-6001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101057615 Virginia
Other Service Providers / Specialist 174400000X D0087500 Maryland
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 0101057615 Virginia
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X D87500 Maryland

Profile Details

NPI number 1962439273
LBN Legal business name Botticelli, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Oct 23rd, 2023 - about 2 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 1962439273 NPPES
Virginia MEDICAID 006200371

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