Avello, Waldo
Avello, Waldo is an individual health care provider with primary practice located at 1012 E 2Nd St , Duluth MN 55805-2200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Avello, Waldo can be contacted via phone (218) 249-7940.Contact Information
Primary practice address
1012 E 2Nd St
Duluth MN 55805-2200
Phone: (218) 249-7940
Fax: (218) 249-7949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 127832 | Montana |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | EMC0005005 | Michigan |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 45321 | Minnesota |
Profile Details
| NPI number | 1922057322 |
|---|---|
| LBN Legal business name | Avello, Waldo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jul 9th, 2024 - about 2 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 | 1922057322 | NPPES |
| Minnesota | Other | 100017212 | MEDICARE RR |
| Minnesota | MEDICAID | 527402800 | MEDICARE RR |
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