Innocenzi, Anthony

Innocenzi, Anthony is an individual health care provider with primary practice located at 6715 Tippecanoe Rd Building F Unit 101, Canfield OH 44406-8180. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Innocenzi, Anthony can be contacted via phone (330) 702-0978.

Contact Information

Primary practice address
6715 Tippecanoe Rd Building F Unit 101 Canfield OH 44406-8180
Phone: (330) 702-0978
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 36-00-3012-I Ohio

Profile Details

NPI number 1255336079
LBN Legal business name Innocenzi, Anthony
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Aug 27th, 2010 - 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 1255336079 NPPES
Pennsylvania MEDICAID 0018292210001
Pennsylvania MEDICAID 2046191

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