Vecellio, Richard J

Vecellio, Richard J is an individual health care provider with primary practice located at 119 Market Place Ave Ste D , Mooresville NC 28117-9157. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Vecellio, Richard J can be contacted via phone (704) 801-9140.

Contact Information

Primary practice address
119 Market Place Ave Ste D Mooresville NC 28117-9157
Phone: (704) 801-9140
Fax: (704) 801-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102715 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102715 North Carolina

Profile Details

NPI number 1124072301
LBN Legal business name Vecellio, Richard J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated May 27th, 2014 - about 10 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 1124072301 NPPES
North Carolina MEDICAID 1124072301
North Carolina Other 970022547

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