Avato, Michael

Avato, Michael is an individual health care provider with primary practice located at 8019 Castor Ave , Philadelphia PA 19152-2733. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Avato, Michael can be contacted via phone (215) 742-6767.

Contact Information

Primary practice address
8019 Castor Ave Philadelphia PA 19152-2733
Fax: (215) 742-6519
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC005649-L Pennsylvania

Profile Details

NPI number 1053316851
LBN Legal business name Avato, Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Jul 8th, 2007 - 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 1053316851 NPPES
Pennsylvania MEDICAID 1011369110001

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