Provider Demographics
NPI:1235295932
Name:AVOLIO CORPORATION
Entity Type:Organization
Organization Name:AVOLIO CORPORATION
Other - Org Name:ARLINGTON SHOE & ORTHOPEDIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:SALATORE
Authorized Official - Last Name:AVOLIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-523-4007
Mailing Address - Street 1:372 NORTH FIRST ST
Mailing Address - Street 2:
Mailing Address - City:JEANNETTE
Mailing Address - State:PA
Mailing Address - Zip Code:15644-1801
Mailing Address - Country:US
Mailing Address - Phone:724-523-4007
Mailing Address - Fax:724-523-6680
Practice Address - Street 1:372 NORTH FIRST ST
Practice Address - Street 2:
Practice Address - City:JEANNETTE
Practice Address - State:PA
Practice Address - Zip Code:15644-1801
Practice Address - Country:US
Practice Address - Phone:724-523-4007
Practice Address - Fax:724-523-6680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0197670001Medicare NSC