Caccavale, Albert G

Caccavale, Albert G is an individual health care provider with primary practice located at 1003 Willow Creek Rd , Prescott AZ 86301-1641. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Caccavale, Albert G can be contacted via phone (928) 771-5420.

Contact Information

Primary practice address
1003 Willow Creek Rd Prescott AZ 86301-1641
Phone: (928) 771-5420
Fax: (928) 771-5471
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 47673 Colorado
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 1944 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 1944 Arizona

Profile Details

NPI number 1780670513
LBN Legal business name Caccavale, Albert G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Feb 22nd, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1780670513 NPPES
Other 109745004 APIPA
MEDICAID 913113200 APIPA
MEDICAID 29826551 APIPA
Other AZ0744400 APIPA
Other 109745 APIPA

Popular Providers