Scudella, George W.

Scudella, George W. is an individual health care provider with primary practice located at 615 N 15Th St , Canon City CO 81212-2313. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Scudella, George W. can be contacted via phone (719) 269-8338.

Contact Information

Primary practice address
615 N 15Th St Canon City CO 81212-2313
Phone: (719) 269-8338
Fax: (719) 269-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 989952 Colorado

Profile Details

NPI number 1083673750
LBN Legal business name Scudella, George W.
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 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 1083673750 NPPES
Colorado MEDICAID 07989957

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