MEDICARE: DR. MICHAEL VELTRE DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	PO3	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	258111ZE2H	OTHER	PA	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376627851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL VELTRE DPM

Provider Business Mailing Address
First Line	:	1432 LINCOLN WAY STE 102
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1600
Country	:	US
Telephone Number	:	412-673-9222
Fax Number	:	412-673-0022

Provider Business Practice Location Address
First Line	:	1432 LINCOLN WAY STE 102
Second Line	:
City	:	WHITE OAK
State	:	PA
Zip	:	15131-1600
Country	:	US
Telephone Number	:	412-673-9222
Fax Number	:	412-673-0022

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2006
Last Update Date	:	07/20/2021

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