Badolato, Craig J
Badolato, Craig J is an individual health care provider with primary practice located at 1430 Pine St , Melbourne FL 32901-3119. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Badolato, Craig J can be contacted via phone (321) 674-5050.Contact Information
Primary practice address
1430 Pine St
Melbourne FL 32901-3119
Phone: (321) 674-5050
Fax: (321) 952-6296
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ME61815 | Florida |
Profile Details
NPI number | 1013998970 |
---|---|
LBN Legal business name | Badolato, Craig J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 8th, 2005 |
Last updated | Apr 26th, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013998970 | NPPES |
Florida | Other | 110067794 | RAILROAD MEDICARE |
Florida | Other | 15118 | RAILROAD MEDICARE |
Florida | Other | 03714 | RAILROAD MEDICARE |
Florida | MEDICAID | 373692000 | RAILROAD MEDICARE |
Florida | Other | 4268178 | RAILROAD MEDICARE |
Florida | Other | 667172 | RAILROAD MEDICARE |
Florida | Other | 808490001 | RAILROAD MEDICARE |
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