Muscatella, Michael

Muscatella, Michael is an individual health care provider with primary practice located at 3125 Village Office Pl , Champaign IL 61822-7673. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Muscatella, Michael can be contacted via phone (217) 398-3338.

Contact Information

Primary practice address
3125 Village Office Pl Champaign IL 61822-7673
Phone: (217) 398-3338
Fax: (217) 398-4961
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-004109 Illinois

Profile Details

NPI number 1578667515
LBN Legal business name Muscatella, Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2006
Last updated Nov 12th, 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 1578667515 NPPES
Other P00161178 RR MCR
MEDICAID 016004109 RR MCR
Other 5235230001 RR MCR

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