Cesario, Mario
Cesario, Mario is an individual health care provider with primary practice located at 1471 East Belltine Ne Ste 201, Grand Rapids MI 49525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cesario, Mario can be contacted via phone (616) 685-8620.Contact Information
Primary practice address
1471 East Belltine Ne Ste 201
Grand Rapids MI 49525
Phone: (616) 685-8620
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301091589 | Michigan |
Profile Details
| NPI number | 1124093679 |
|---|---|
| LBN Legal business name | Cesario, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2006 |
| Last updated | Sep 11th, 2012 - about 12 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 | 1124093679 | NPPES |
| Illinois | MEDICAID | 036106961 |
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