Colavincenzo, Paul R
Colavincenzo, Paul R is an individual health care provider with primary practice located at 3535 Southern Blvd , Kettering OH 45429-1221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Colavincenzo, Paul R can be contacted via phone (937) 293-8228.Contact Information
Primary practice address
3535 Southern Blvd
Kettering OH 45429-1221
Phone: (937) 293-8228
Fax: (937) 293-8228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 35056613 | Ohio |
Profile Details
| NPI number | 1154312445 |
|---|---|
| LBN Legal business name | Colavincenzo, Paul R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2005 |
| Last updated | Sep 30th, 2019 - about 5 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 | 1154312445 | NPPES |
| Ohio | MEDICAID | 0703304 |
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