Pantaleo, Michael John

Pantaleo, Michael John is an individual health care provider with primary practice located at Evans Army Community Hospital Cochran Circle, Ft Carson CO 80913. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pantaleo, Michael John can be contacted via phone (719) 526-7902.

Contact Information

Primary practice address
Evans Army Community Hospital Cochran Circle Ft Carson CO 80913
Phone: (719) 526-7902
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1717 Colorado

Profile Details

NPI number 1487634606
LBN Legal business name Pantaleo, Michael John
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 8th, 2007 - about 18 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 1487634606 NPPES
Colorado Other 1717 PSYCHOLOGIST LIC NUMBER

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