Provider Demographics
NPI:1679508972
Name:AMATO, MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:AMATO
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:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:WEST WAREHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02576-0284
Mailing Address - Country:US
Mailing Address - Phone:508-273-0190
Mailing Address - Fax:508-273-9943
Practice Address - Street 1:2360 CRANBERRY HWY
Practice Address - Street 2:UNIT 6
Practice Address - City:WEST WAREHAM
Practice Address - State:MA
Practice Address - Zip Code:02576-1208
Practice Address - Country:US
Practice Address - Phone:508-273-0190
Practice Address - Fax:508-273-0190
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3087869OtherAETNA
MAAA45347OtherHARVARD PILGRIM
4400507OtherUNITED HEALTH
MAB20757101OtherCIGNA
MA1612727Medicaid
Y36566OtherBCBS
MA1612727Medicaid