Agustin, Michael Richard

Agustin, Michael Richard is an sole proprietor health care provider with primary practice located at 5980 W 71St St Ste 102 , Indianapolis IN 46278-1785. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Agustin, Michael Richard can be contacted via phone (317) 388-0800.

Contact Information

Primary practice address
5980 W 71St St Ste 102 Indianapolis IN 46278-1785
Phone: (317) 388-0800
Fax: (317) 388-0805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 33761 Florida

Profile Details

NPI number 1295061968
LBN Legal business name Agustin, Michael Richard
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2009
Last updated Oct 30th, 2009 - about 17 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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