Vitale, Steven Thomas

Vitale, Steven Thomas is an individual health care provider with primary practice located at 1005 W Orangeburg Ave Ste A, Modesto CA 95350-4163. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter, which is considered as his primary health care specialty. Vitale, Steven Thomas can be contacted via phone (209) 575-1063.

Contact Information

Primary practice address
1005 W Orangeburg Ave Ste A Modesto CA 95350-4163
Phone: (209) 575-1063
Fax: (209) 575-1065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotic Fitter 225000000X CPO2516 California

Profile Details

NPI number 1144434622
LBN Legal business name Vitale, Steven Thomas
Credentials C.P.O.
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 9th, 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 1144434622 NPPES
California MEDICAID XA0151460

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