Provider Demographics
NPI:1497508840
Name:SALVAGGIO, ALEX
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:SALVAGGIO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:251 SUGAR HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28739-7812
Mailing Address - Country:US
Mailing Address - Phone:828-620-0063
Mailing Address - Fax:
Practice Address - Street 1:251 SUGAR HOLLOW RD
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28739-7812
Practice Address - Country:US
Practice Address - Phone:828-620-0063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program