Macatuno, Edifel N

Macatuno, Edifel N is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Macatuno, Edifel N can be contacted via phone (864) 560-6287.

Contact Information

Primary practice address
101 E Wood St Spartanburg SC 29303-3040
Phone: (864) 560-6287
Fax: (864) 560-7091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X M23575 South Carolina
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 23575 South Carolina

Profile Details

NPI number 1649219585
LBN Legal business name Macatuno, Edifel N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 4th, 2021 - about 4 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 1649219585 NPPES
South Carolina Other SCC5085019 MEDICARE PIN
South Carolina Other SCC508H895 MEDICARE PIN
South Carolina MEDICAID 235757 MEDICARE PIN
South Carolina Other SCC508J577 MEDICARE PIN

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