Caceres, Marco Antonio

Caceres, Marco Antonio is an sole proprietor health care provider with primary practice located at 244 Smith Church Rd , Roanoke Rapids NC 27870-4956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Caceres, Marco Antonio can be contacted via phone (252) 535-2350.

Contact Information

Primary practice address
244 Smith Church Rd Roanoke Rapids NC 27870-4956
Phone: (252) 535-2350
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 19676 North Carolina

Profile Details

NPI number 1679778005
LBN Legal business name Caceres, Marco Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2007
Last updated Aug 23rd, 2010 - about 15 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 1679778005 NPPES
North Carolina MEDICAID 8920639

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