Provider Demographics
NPI:1376627851
Name:VELTRE, MICHAEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:VELTRE
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 LINCOLN WAY STE 102
Mailing Address - Street 2:
Mailing Address - City:WHITE OAK
Mailing Address - State:PA
Mailing Address - Zip Code:15131-1600
Mailing Address - Country:US
Mailing Address - Phone:412-673-9222
Mailing Address - Fax:412-673-0022
Practice Address - Street 1:1432 LINCOLN WAY STE 102
Practice Address - Street 2:
Practice Address - City:WHITE OAK
Practice Address - State:PA
Practice Address - Zip Code:15131-1600
Practice Address - Country:US
Practice Address - Phone:412-673-9222
Practice Address - Fax:412-673-0022
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA258111ZE2HOtherMEDICARE
PA1027692830001Medicaid
U61560Medicare UPIN