Capito, Paul Ray

Capito, Paul Ray is an individual health care provider with primary practice located at 3623 Latrobe Dr Ste 216 , Charlotte NC 28211. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Capito, Paul Ray can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Ste 216 Charlotte NC 28211
Phone: (704) 332-1291
Fax: (704) 332-5206
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Medicine 207U00000X 2002-01344 North Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 200201344 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2002-01344 North Carolina

Profile Details

NPI number 1952306268
LBN Legal business name Capito, Paul Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Sep 12th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952306268 NPPES
North Carolina MEDICAID 89136G4

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