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Contact Information

ALFONSO G LLANTO, MD
3973 M140
WATERVLIET, MI49098
 Phone: 269-463-5711
 Fax: 269-463-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALFONSO G LLANTO · (Male)

NPI # 1154586451
Status Active
Credentials MD
Entity Individual
Enumeration date 07/25/2008
Last updated 07/25/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # AL038737
  • MI Medicaid 2093395
  • MI Other 1101156072 BCBS PIN #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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