Acquaviva, Michael Anthony

Acquaviva, Michael Anthony is an individual health care provider with primary practice located at 705 Riley Hospital Dr , Indianapolis IN 46202-5109. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Acquaviva, Michael Anthony can be contacted via phone (317) 944-9981.

Contact Information

Primary practice address
705 Riley Hospital Dr Indianapolis IN 46202-5109
Phone: (317) 944-9981
Fax: (317) 944-8699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.119149 Illinois
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 01066743A Indiana

Profile Details

NPI number 1972765444
LBN Legal business name Acquaviva, Michael Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2008
Last updated Nov 17th, 2020 - 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 1972765444 NPPES
Indiana MEDICAID 200989720
Indiana Other 000000657692

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