Avellino, Anthony M
Avellino, Anthony M is an individual health care provider with primary practice located at 1501 N Campbell Ave , Tucson AZ 85724-8761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Avellino, Anthony M can be contacted via phone (520) 626-2164.Contact Information
Primary practice address
1501 N Campbell Ave
Tucson AZ 85724-8761
Phone: (520) 626-2164
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 4301115254 | Michigan |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | MD00033972 | Washington |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 66853 | Arizona |
Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G175077 | California |
Profile Details
NPI number | 1730279621 |
---|---|
LBN Legal business name | Avellino, Anthony M |
Credentials | MD, MBA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 13th, 2006 |
Last updated | Jun 21st, 2023 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1730279621 | NPPES |
Washington | MEDICAID | 1730279621 | |
Washington | Other | 0252115 | |
Washington | Other | 590 |
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