Gucilatar, Max
Gucilatar, Max is an individual health care provider with primary practice located at 51 Office Park Dr , Jacksonville NC 28546-7327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Gucilatar, Max can be contacted via phone (910) 577-5199.Contact Information
Primary practice address
51 Office Park Dr
Jacksonville NC 28546-7327
Phone: (910) 577-5199
Fax: (910) 577-3424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2010-01364 | North Carolina |
| Other Service Providers / Specialist | 174400000X | 39507 | Kentucky |
Profile Details
| NPI number | 1710950548 |
|---|---|
| LBN Legal business name | Gucilatar, Max |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Oct 14th, 2010 - about 14 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 | 1710950548 | NPPES |
| Kentucky | MEDICAID | 64109705 |
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