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:
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Health care specialties

SpecialtyCodeLicense #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 6 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 1326113473 NPPES
Colorado MEDICAID 95254072

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