Cabantog, Alberto M

Cabantog, Alberto M is an sole proprietor health care provider with primary practice located at 240 W 11Th St Ste 103 , Erie PA 16501-1758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Cabantog, Alberto M can be contacted via phone (814) 790-5111.

Contact Information

Primary practice address
240 W 11Th St Ste 103 Erie PA 16501-1758
Fax:
Website:

Health care specialties

Profile Details

NPI number 1558351692
LBN Legal business name Cabantog, Alberto M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2005
Last updated Nov 3rd, 2023 - about 3 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 1558351692 NPPES
Massachusetts Other 202705274 GREAT WEST
Massachusetts Other AA58878 GREAT WEST
Massachusetts Other 202705274004 GREAT WEST
Massachusetts MEDICAID 2036525 GREAT WEST
Massachusetts Other 7245558 GREAT WEST
Massachusetts Other 202705274 GREAT WEST
Massachusetts Other 97130902 GREAT WEST
Massachusetts Other MD458018 GREAT WEST
Massachusetts Other 611000600 GREAT WEST

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