Decristofaro, Louis T
Decristofaro, Louis T is an individual health care provider with primary practice located at 1100 Tunnel Road Va Medical Center, Asheville NC 28805-2043. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Decristofaro, Louis T can be contacted via phone (828) 273-8149.Contact Information
Primary practice address
1100 Tunnel Road Va Medical Center
Asheville NC 28805-2043
Phone: (828) 273-8149
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | A398 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103541 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0009 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2669 | Georgia |
Profile Details
| NPI number | 1588659387 |
|---|---|
| LBN Legal business name | Decristofaro, Louis T |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2005 |
| Last updated | Dec 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588659387 | NPPES |
| North Carolina | Other | 1012656 | NCCPA MEMBER ID |
| North Carolina | Other | 111717 | NCCPA MEMBER ID |
| North Carolina | Other | 0009 | NCCPA MEMBER ID |
| North Carolina | Other | A398 | NCCPA MEMBER ID |
| North Carolina | Other | 0018629 | NCCPA MEMBER ID |
| North Carolina | Other | 103541 | NCCPA MEMBER ID |
| North Carolina | Other | 2669 | NCCPA MEMBER ID |
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