Massanisso, Salvatore J

Massanisso, Salvatore J is an individual health care provider with primary practice located at 2 N La Grange Rd , La Grange IL 60525-2001. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Massanisso, Salvatore J can be contacted via phone (708) 352-3116.

Contact Information

Primary practice address
2 N La Grange Rd La Grange IL 60525-2001
Fax: (708) 352-2115
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.030820 Illinois

Profile Details

NPI number 1881971323
LBN Legal business name Massanisso, Salvatore J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2011
Last updated Nov 11th, 2011 - about 14 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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