Agostino, Michael A

Agostino, Michael A is an individual health care provider with primary practice located at 18051 River Road Suite 104, Noblesville IN 46062-7093. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Agostino, Michael A can be contacted via phone (317) 844-7059.

Contact Information

Primary practice address
18051 River Road Suite 104 Noblesville IN 46062-7093
Phone: (317) 844-7059
Fax: (317) 819-0044
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 01038563 Indiana

Profile Details

NPI number 1164458352
LBN Legal business name Agostino, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 21st, 2024 - 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 1164458352 NPPES
Indiana MEDICAID 100361740A
Indiana Other 000000085510
Indiana Other 01038563

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