Caceres, Marco Antonio
Caceres, Marco Antonio is an sole proprietor health care provider with primary practice located at 244 Smith Church Rd , Roanoke Rapids NC 27870-4956. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Caceres, Marco Antonio can be contacted via phone (252) 535-2350.Contact Information
Primary practice address
244 Smith Church Rd
Roanoke Rapids NC 27870-4956
Phone: (252) 535-2350
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 19676 | North Carolina |
Profile Details
| NPI number | 1679778005 |
|---|---|
| LBN Legal business name | Caceres, Marco Antonio |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 16th, 2007 |
| Last updated | Aug 23rd, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679778005 | NPPES |
| North Carolina | MEDICAID | 8920639 |
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