Ippolito, Allan L

Ippolito, Allan L is an individual health care provider with primary practice located at 5020 W Bristol Rd , Flint MI 48507-2919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Ippolito, Allan L can be contacted via phone (810) 732-1620.

Contact Information

Primary practice address
5020 W Bristol Rd Flint MI 48507-2919
Phone: (810) 732-1620
Fax: (810) 732-8559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X AI044692 Michigan

Profile Details

NPI number 1700857273
LBN Legal business name Ippolito, Allan L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 27th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700857273 NPPES
Michigan MEDICAID 1430937
Michigan Other 0202507492
Michigan Other C5093
Michigan Other 113784
Michigan Other B47732
Michigan Other 0601232
Michigan Other 204104
Michigan Other 120886
Michigan Other 4292691
Michigan Other 120886
Michigan Other 382237803107

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