Degaetano, Michael

Degaetano, Michael is an individual health care provider with primary practice located at 5620 Lone Star Pkwy # 2 , San Antonio TX 78253-2202. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Degaetano, Michael can be contacted via phone (210) 403-7978.

Contact Information

Primary practice address
5620 Lone Star Pkwy # 2 San Antonio TX 78253-2202
Phone: (210) 403-7978
Fax: (210) 680-0206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X M1624 Texas

Profile Details

NPI number 1881660454
LBN Legal business name Degaetano, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Oct 26th, 2022 - about 4 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 1881660454 NPPES
Texas MEDICAID 176166001

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