Josilevich, Michael
Josilevich, Michael is an sole proprietor health care provider with primary practice located at 1701 Country Club Rd , Jacksonville NC 28546-6005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Josilevich, Michael can be contacted via phone (910) 346-5016.Contact Information
Primary practice address
1701 Country Club Rd
Jacksonville NC 28546-6005
Phone: (910) 346-5016
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9500962 | North Carolina |
Profile Details
| NPI number | 1811088552 |
|---|---|
| LBN Legal business name | Josilevich, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Jun 29th, 2012 - about 14 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 | 1811088552 | NPPES |
| North Carolina | MEDICAID | 89013R6 | |
| North Carolina | MEDICAID | 8947511 | |
| North Carolina | Other | 47511 |
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