Carrillo, Juan Manuel

Carrillo, Juan Manuel is an individual health care provider with primary practice located at 2008 John Rolfe Parkway , Richmond VA 23238. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Carrillo, Juan Manuel can be contacted via phone (804) 754-2020.

Contact Information

Primary practice address
2008 John Rolfe Parkway Richmond VA 23238
Phone: (804) 754-2020
Fax: (804) 754-2008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401410612 Virginia

Profile Details

NPI number 1003871112
LBN Legal business name Carrillo, Juan Manuel
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Jul 8th, 2007 - about 18 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 1003871112 NPPES
Virginia Other 186588 ANTHEM ID NUMBER

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