Rivera, Apollo S

Rivera, Apollo S is an sole proprietor health care provider with primary practice located at 2420 Lake Ave , Ashtabula OH 44004-4954. He recently has only one registered license in Emergency Medical Service Providers / Personal Emergency Response Attendant, which is considered as his primary health care specialty. Rivera, Apollo S can be contacted via phone (440) 997-2262.

Contact Information

Primary practice address
2420 Lake Ave Ashtabula OH 44004-4954
Fax: (440) 997-6644
Website:

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Personal Emergency Response Attendant 146D00000X 35045041 Ohio

Profile Details

NPI number 1003823493
LBN Legal business name Rivera, Apollo S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 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 1003823493 NPPES
Ohio Other 942460636151 CARESOURCE
Ohio MEDICAID 0529584 CARESOURCE

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