Centilli, Michael Robert

Centilli, Michael Robert is an sole proprietor health care provider with primary practice located at 199 Village Center Blvd Ste 200 , Myrtle Beach SC 29579-3589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Centilli, Michael Robert can be contacted via phone (843) 738-0500.

Contact Information

Primary practice address
199 Village Center Blvd Ste 200 Myrtle Beach SC 29579-3589
Fax: (437) 380-5058
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 52108 South Carolina

Profile Details

NPI number 1215223326
LBN Legal business name Centilli, Michael Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2011
Last updated Jun 10th, 2021 - about 3 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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