Vitale, Christopher Robert

Vitale, Christopher Robert is an sole proprietor health care provider with primary practice located at 5050 N Clinton St , Fort Wayne IN 46825-5886. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Trauma. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Vitale, Christopher Robert can be contacted via phone (260) 484-8551.

Contact Information

Primary practice address
5050 N Clinton St Fort Wayne IN 46825-5886
Phone: (260) 484-8551
Fax: (260) 482-5060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101018805 Michigan
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 20A14021 California
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 02004802A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 02004802A Indiana

Profile Details

NPI number 1679884068
LBN Legal business name Vitale, Christopher Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2010
Last updated Oct 23rd, 2018 - about 8 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 1679884068 NPPES
Other 12488756 CAQH
MEDICAID 201368500 CAQH

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