Nacilla, Johnny Que

Nacilla, Johnny Que is an individual health care provider with primary practice located at 1750 Al Highway 157 , Cullman AL 35058-3622. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Nacilla, Johnny Que can be contacted via phone (256) 255-2500.

Contact Information

Primary practice address
1750 Al Highway 157 Cullman AL 35058-3622
Phone: (256) 255-2500
Fax: (256) 255-2501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 00020069 Alabama

Profile Details

NPI number 1346261526
LBN Legal business name Nacilla, Johnny Que
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2006
Last updated Apr 22nd, 2011 - about 15 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 1346261526 NPPES
Alabama Other P00188313 RAILROAD MEDICARE
Alabama MEDICAID 051555314 RAILROAD MEDICARE
Alabama Other 51000810 RAILROAD MEDICARE

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