Healthcare Provider Details

I. General information

NPI: 1528455425
Provider Name (Legal Business Name): MICHAEL JOSEPH MARCHANTE PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2015
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

H M SMITH BLVD
CAMP LEJEUNE NC
28547
US

IV. Provider business mailing address

H M SMITH BLVD
CAMP LEJEUNE NC
28547
US

V. Phone/Fax

Practice location:
  • Phone: 910-451-3847
  • Fax:
Mailing address:
  • Phone: 910-451-3847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-14627
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number60962
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: