Constantine, Michael Thomas

Constantine, Michael Thomas is an individual health care provider with primary practice located at 744 Hartness Rd , Statesville NC 28677-3425. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Constantine, Michael Thomas can be contacted via phone (704) 878-9168.

Contact Information

Primary practice address
744 Hartness Rd Statesville NC 28677-3425
Fax: (704) 871-0655
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1235311960
LBN Legal business name Constantine, Michael Thomas
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235311960 NPPES
North Carolina MEDICAID 7702812

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