Vilsack, David Ray

Vilsack, David Ray is an sole proprietor health care provider with primary practice located at 532 S Aiken Ave Ste 108, Pittsburgh PA 15232-1521. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Vilsack, David Ray can be contacted via phone (412) 621-5700.

Contact Information

Primary practice address
532 S Aiken Ave Ste 108 Pittsburgh PA 15232-1521
Phone: (412) 621-5700
Fax: (412) 621-2890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001542L Pennsylvania

Profile Details

NPI number 1124029681
LBN Legal business name Vilsack, David Ray
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2005
Last updated May 9th, 2008 - 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 1124029681 NPPES
Pennsylvania Other 0004292912 AETNA
Pennsylvania Other 1503489 AETNA
Pennsylvania Other 887857 AETNA
Pennsylvania Other 40683 AETNA
Pennsylvania Other 65298 AETNA
Pennsylvania Other 202304 AETNA
Pennsylvania Other 480020822 AETNA
Pennsylvania MEDICAID 0005031350012 AETNA

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