ALFONSO G LLANTO MD PC NPI 1750484556

NPI Information

  • NPI: 1750484556
  • Provider Name: ALFONSO G LLANTO MD PC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 3973 M 140
    WATERVLIET, MI
    ZIP 49098
  • Phone: (269) 463-5711

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NPI Details

ALFONSO G LLANTO MD PC is a general practice in Watervliet, MI. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee ALFONSO G LLANTO MD PC NPI is 1750484556. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3973 M 140
WATERVLIET, MI
ZIP 49098
Phone: (269) 463-5711
Fax: (269) 463-2885

The provider's authorized official is Josephine A Llanto .
The authorized official title is Office Manager and has the following contact phone number (269) 463-5711.

The enumeration date for this NPI number is 9/7/2006 and was last updated on 6/23/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeAL038737MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11101156072OTHERBCBS
2A76199MEDICARE UPIN
3P00061231OTHERRAILROAD MEDICARE
42093395MEDICAIDMICHIGAN
50115607MEDICARE ID-TYPE UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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