Provider Demographics
NPI:1174875637
Name:MICHAEL VELTRE DPM PC
Entity type:Organization
Organization Name:MICHAEL VELTRE DPM PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:VELTRE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:786-282-9181
Mailing Address - Street 1:1601 LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1720
Mailing Address - Country:US
Mailing Address - Phone:412-673-9222
Mailing Address - Fax:
Practice Address - Street 1:1601 LINCOLN WAY
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1720
Practice Address - Country:US
Practice Address - Phone:412-673-9222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-09
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC006331213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty