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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

NPI # 1750484556
LBN Legal business name ALFONSO G LLANTO MD PC
Authorized official JOSEPHINE LLANTO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/07/2006
Last updated 06/23/2010 - About 16 years ago
Identifiers
MI License # AL038737
MI Medicaid 2093395
Other 1101156072 BCBS
Other P00061231 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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