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:
Health care specialties
Specialty | Code | License # | 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 6 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 | 1174512115 | NPPES |
New Mexico | MEDICAID | L8806 |
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