Montilus, Mac Adolf

Montilus, Mac Adolf is an individual health care provider with primary practice located at 4314 Ludgate St , Lumberton NC 28358-2461. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Montilus, Mac Adolf can be contacted via phone (910) 272-8800.

Contact Information

Primary practice address
4314 Ludgate St Lumberton NC 28358-2461
Fax: (910) 272-0508
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 97.01503 North Carolina

Profile Details

NPI number 1922044791
LBN Legal business name Montilus, Mac Adolf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 29th, 2023 - about 2 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 1922044791 NPPES
North Carolina MEDICAID 891079Q

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