Vitale, Salvatore G
Vitale, Salvatore G is an sole proprietor health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Vitale, Salvatore G can be contacted via phone (317) 577-4200.Contact Information
Primary practice address
1701 N Senate Blvd
Indianapolis IN 46202-1239
Phone: (317) 577-4200
Fax: (317) 577-9503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 174575-1 | New York |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01088771A | Indiana |
Profile Details
| NPI number | 1043215353 |
|---|---|
| LBN Legal business name | Vitale, Salvatore G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Sep 28th, 2023 - about last year |
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 | 1043215353 | NPPES |
| Indiana | Other | M122404072 | MEDICARE PTAN |
| Indiana | Other | 264430G39 | MEDICARE PTAN |
| Indiana | MEDICAID | 300069449 | MEDICARE PTAN |
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