Cancilla, Michael Anthony

Cancilla, Michael Anthony is an individual health care provider with primary practice located at 2020 J St , Sacramento CA 95811-3120. He recently has 2 registered licenses in different health care specialties including Emergency Medical Service Providers / Personal Emergency Response Attendant, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cancilla, Michael Anthony can be contacted via phone (916) 341-0576.

Contact Information

Primary practice address
2020 J St Sacramento CA 95811-3120
Fax: (916) 498-9040
Website:

Health care specialties

Profile Details

NPI number 1952311052
LBN Legal business name Cancilla, Michael Anthony
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Mar 21st, 2016 - about 9 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 1952311052 NPPES
California MEDICAID PA15366

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