Capocelli, Mario Carlo
Capocelli, Mario Carlo is an individual health care provider with primary practice located at 5920 Mcintyre St , Golden CO 80403-7445. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Capocelli, Mario Carlo can be contacted via phone (720) 434-4876.Contact Information
Primary practice address
5920 Mcintyre St
Golden CO 80403-7445
Phone: (720) 434-4876
Fax: (303) 225-4246
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 1593 | Colorado |
Profile Details
NPI number | 1326113473 |
---|---|
LBN Legal business name | Capocelli, Mario Carlo |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | Feb 13th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326113473 | NPPES |
Colorado | MEDICAID | 95254072 |
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