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:
Health care specialties
| Specialty | Code | License # | 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 7 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 | 1780670513 | NPPES |
| Other | 109745004 | APIPA | |
| MEDICAID | 913113200 | APIPA | |
| MEDICAID | 29826551 | APIPA | |
| Other | AZ0744400 | APIPA | |
| Other | 109745 | APIPA |
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