Vitale, Neil B

Vitale, Neil B is an individual health care provider with primary practice located at 1200 E Pecan St , Altus OK 73521-6141. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Vitale, Neil B can be contacted via phone (580) 379-5547.

Contact Information

Primary practice address
1200 E Pecan St Altus OK 73521-6141
Phone: (580) 379-5547
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 029104 Connecticut
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 30161 Oklahoma

Profile Details

NPI number 1326156787
LBN Legal business name Vitale, Neil B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Aug 22nd, 2022 - about 4 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 1326156787 NPPES
Oklahoma MEDICAID 200519970A

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