Cappuccio, Jeffrey Frank

Cappuccio, Jeffrey Frank is an sole proprietor health care provider with primary practice located at 1635 Brodhead Rd , Moon Twp PA 15108-3842. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Cappuccio, Jeffrey Frank can be contacted via phone (724) 457-1900.

Contact Information

Primary practice address
1635 Brodhead Rd Moon Twp PA 15108-3842
Fax: (724) 457-1901
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X DC-003212-L Pennsylvania

Profile Details

NPI number 1275538183
LBN Legal business name Cappuccio, Jeffrey Frank
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2005
Last updated Oct 1st, 2009 - about 15 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 1275538183 NPPES
Pennsylvania MEDICAID 1723250/01

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