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Contact Information

ALFONSO G LLANTO MD PC
3973 M 140
WATERVLIET, MI49098
 Phone: 269-463-5711
 Fax: 269-463-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for ALFONSO G LLANTO MD PC · (Female)

NPI # 1750484556
Status Active
Credentials
Entity Individual
Enumeration date 09/07/2006
Last updated 06/23/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # AL038737
  • MI Medicaid 2093395
  • Other 1101156072 BCBS
  • Other P00061231 RAILROAD MEDICARE
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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