Cilluffo, John Marino

Cilluffo, John Marino is an sole proprietor health care provider with primary practice located at 1221 Sixth St Ste 308 , Traverse City MI 49684-2361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Cilluffo, John Marino can be contacted via phone (231) 935-5720.

Contact Information

Primary practice address
1221 Sixth St Ste 308 Traverse City MI 49684-2361
Phone: (231) 935-5720
Fax: (231) 935-5719
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301044523 Michigan

Profile Details

NPI number 1740397199
LBN Legal business name Cilluffo, John Marino
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Dec 19th, 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 1740397199 NPPES
Michigan MEDICAID 1777018-10
Michigan Other 1402410051

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