Provider Demographics
NPI:1659411262
Name:GATTO, AUGUST J (DC)
Entity Type:Individual
Prefix:
First Name:AUGUST
Middle Name:J
Last Name:GATTO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 SWISS WAY
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:PA
Mailing Address - Zip Code:15037-2089
Mailing Address - Country:US
Mailing Address - Phone:412-754-1214
Mailing Address - Fax:412-754-1263
Practice Address - Street 1:1080 SWISS WAY
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:PA
Practice Address - Zip Code:15037-2089
Practice Address - Country:US
Practice Address - Phone:412-754-1214
Practice Address - Fax:412-754-1263
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC007560L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA410511OtherHEALTH AMERICA-ASSURANCE
PA0007913122OtherAETNA
PA001897633000Medicaid
PA692536OtherBLUE CROSS BLUE SHIELD
PA030794Medicare ID - Type Unspecified
PA001897633000Medicaid