Vastola, David Joseph

Vastola, David Joseph is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vastola, David Joseph can be contacted via phone (907) 966-8754.

Contact Information

Primary practice address
222 Tongass Dr Sitka AK 99835-9416
Phone: (907) 966-8754
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2325 Alaska

Profile Details

NPI number 1710012323
LBN Legal business name Vastola, David Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jun 19th, 2009 - about 16 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 1710012323 NPPES
Alaska MEDICAID MD2325

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