Cappa-Melendez, Alfonso
Cappa-Melendez, Alfonso is an sole proprietor health care provider with primary practice located at 1124 Eagleridge Blvd , Pueblo CO 81008-2103. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cappa-Melendez, Alfonso can be contacted via phone (719) 470-0514.Contact Information
Primary practice address
1124 Eagleridge Blvd
Pueblo CO 81008-2103
Phone: (719) 470-0514
Fax: (719) 960-2444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0004337 | Colorado |
Profile Details
| NPI number | 1649409715 |
|---|---|
| LBN Legal business name | Cappa-Melendez, Alfonso |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2009 |
| Last updated | Jul 18th, 2022 - about 3 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 | 1649409715 | NPPES |
| Colorado | MEDICAID | 731420 |
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