Pagano, Marc Robert

Pagano, Marc Robert is an sole proprietor health care provider with primary practice located at 11528 Royalton Rd Suite 101, North Royalton OH 44133-4469. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pagano, Marc Robert can be contacted via phone (440) 582-3310.

Contact Information

Primary practice address
11528 Royalton Rd Suite 101 North Royalton OH 44133-4469
Fax: (440) 582-3310
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3320 Ohio

Profile Details

NPI number 1457560054
LBN Legal business name Pagano, Marc Robert
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Apr 12th, 2011 - about 13 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 1457560054 NPPES
Ohio MEDICAID 0674453
Ohio Other 160013
Ohio Other 341485124

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