MEDICARE: DR. MICHAEL P AMATO D.C.

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	111N00000X	Chiropractor	0104001763	VA

General Provider Information

NPI Number	:	1184711707
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL P AMATO D.C.

Provider Business Mailing Address
First Line	:	100 MACTANLY PL
Second Line	:	STE D
City	:	STAUNTON
State	:	VA
Zip	:	24401-2383
Country	:	US
Telephone Number	:	540-213-3904
Fax Number	:	540-213-3905

Provider Business Practice Location Address
First Line	:	466 COMMERCE RD
Second Line	:
City	:	STAUNTON
State	:	VA
Zip	:	24401-4432
Country	:	US
Telephone Number	:	540-213-3904
Fax Number	:	540-213-3905

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	05/07/2018

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