Pantaleo, Michael John
Pantaleo, Michael John is an individual health care provider with primary practice located at Evans Army Community Hospital Cochran Circle, Ft Carson CO 80913. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Pantaleo, Michael John can be contacted via phone (719) 526-7902.Contact Information
Primary practice address
Evans Army Community Hospital Cochran Circle
Ft Carson CO 80913
Phone: (719) 526-7902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 1717 | Colorado |
Profile Details
| NPI number | 1487634606 |
|---|---|
| LBN Legal business name | Pantaleo, Michael John |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1487634606 | NPPES |
| Colorado | Other | 1717 | PSYCHOLOGIST LIC NUMBER |
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