Cevasco, Nathaniel Charter
Cevasco, Nathaniel Charter is an individual health care provider with primary practice located at 9075 Town Centre Dr Suite 3, Broadview Hts OH 44147-4044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cevasco, Nathaniel Charter can be contacted via phone (440) 526-4570.Contact Information
Primary practice address
9075 Town Centre Dr Suite 3
Broadview Hts OH 44147-4044
Phone: (440) 526-4570
Fax: (440) 526-4149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 35094669 | Ohio |
Profile Details
| NPI number | 1477746881 |
|---|---|
| LBN Legal business name | Cevasco, Nathaniel Charter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2007 |
| Last updated | Jun 26th, 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 | 1477746881 | NPPES |
| Ohio | MEDICAID | 3052351 |
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