Carrillo, Juan Manuel
Carrillo, Juan Manuel is an individual health care provider with primary practice located at 2008 John Rolfe Parkway , Richmond VA 23238. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carrillo, Juan Manuel can be contacted via phone (804) 754-2020.Contact Information
Primary practice address
2008 John Rolfe Parkway
Richmond VA 23238
Phone: (804) 754-2020
Fax: (804) 754-2008
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 0401410612 | Virginia |
Profile Details
NPI number | 1003871112 |
---|---|
LBN Legal business name | Carrillo, Juan Manuel |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1003871112 | NPPES |
Virginia | Other | 186588 | ANTHEM ID NUMBER |
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