Guillette, Michael Emile

Guillette, Michael Emile is an individual health care provider with primary practice located at 2577 Main Ave , Durango CO 81301-5919. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Guillette, Michael Emile can be contacted via phone (970) 247-8382.

Contact Information

Primary practice address
2577 Main Ave Durango CO 81301-5919
Phone: (970) 247-8382
Fax: (970) 259-4403
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 889 Colorado

Profile Details

NPI number 1174512115
LBN Legal business name Guillette, Michael Emile
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Oct 18th, 2019 - about 5 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 1174512115 NPPES
New Mexico MEDICAID L8806

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