Depolo, Albert A
Depolo, Albert A is an individual health care provider with primary practice located at 809 E. Michigan Ave. , Grayling MI 49738. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Depolo, Albert A can be contacted via phone (989) 348-6610.Contact Information
Primary practice address
809 E. Michigan Ave.
Grayling MI 49738
Phone: (989) 348-6610
Fax: (989) 348-2723
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 5101007832 | Michigan |
Profile Details
| NPI number | 1487618575 |
|---|---|
| LBN Legal business name | Depolo, Albert A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Feb 11th, 2016 - about 8 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 | 1487618575 | NPPES |
| Michigan | MEDICAID | 111768805 |
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