Michael Agostino, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Johnson City, TN
NPI 1033966890 · NPPES record last updated May 1, 2024
Key facts
- NPI
- 1033966890
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 325 N State of Franklin Rd
Johnson City, TN 37604-6056 - Phone
- (423) 439-7320
- Fax
- (423) 439-7343
- NPI assigned
- May 1, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
325 N State of Franklin Rd
Johnson City, TN 37604-6056
Mailing address
325 N State of Franklin Rd
Johnson City, TN 37604-6056
Other providers in Johnson City, TN
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc
- Agilitas USA, Inc.
- Aging Assistance & Support LLC
- Dalila Aguilar
- Armaan Wasif Ahmed
- Aws Ahmed
- Mohamed Y Ahmed
- Ahp Home Health, LLC
All providers in Johnson City, TN · Student in an Organized Health Care Education/Training Program in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.