Muscatella, Michael

Muscatella, Michael is an individual health care provider with primary practice located at 2300 S 1St St , Champaign IL 61820-7661. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Muscatella, Michael can be contacted via phone (217) 383-9400.

Contact Information

Primary practice address
2300 S 1St St Champaign IL 61820-7661
Phone: (217) 383-9400
Fax: (217) 383-9692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-004109 Illinois

Profile Details

NPI number 1578667515
LBN Legal business name Muscatella, Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Aug 5th, 2025 - about last year

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 1578667515 NPPES
Other 5235230001 DMERC
MEDICAID 016004109 DMERC
Other P00161178 DMERC

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