Intravartolo, John J
Intravartolo, John J is an individual health care provider with primary practice located at 903 S Auburn St , Kennewick WA 99336-5662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Intravartolo, John J can be contacted via phone (509) 582-8225.Contact Information
Primary practice address
903 S Auburn St
Kennewick WA 99336-5662
Phone: (509) 582-8225
Fax: (509) 582-2893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00012630 | Washington |
Profile Details
| NPI number | 1477596740 |
|---|---|
| LBN Legal business name | Intravartolo, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1477596740 | NPPES |
| Washington | MEDICAID | 1120450 |
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