Casciello, Michael Carlyle

Casciello, Michael Carlyle is an individual health care provider with primary practice located at 941 Newman Rd , New Bern NC 28562-5252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Casciello, Michael Carlyle can be contacted via phone (252) 634-3278.

Contact Information

Primary practice address
941 Newman Rd New Bern NC 28562-5252
Phone: (252) 634-3278
Fax: (252) 633-3312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101058326 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 2013-00785 North Carolina

Profile Details

NPI number 1639166960
LBN Legal business name Casciello, Michael Carlyle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Sep 24th, 2014 - about 12 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 1639166960 NPPES
Virginia Other PAR TRICARE
Virginia Other PAR TRICARE
Virginia Other PAR TRICARE
Virginia Other PAR TRICARE
Virginia MEDICAID 1639166960 TRICARE
Virginia Other PAR TRICARE
Virginia Other PAR TRICARE

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