Vellucci, Sean Michael

Vellucci, Sean Michael is an sole proprietor health care provider with primary practice located at 5175 Morse Rd Suite 400, Gahanna OH 43230-1370. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vellucci, Sean Michael can be contacted via phone (614) 741-4411.

Contact Information

Primary practice address
5175 Morse Rd Suite 400 Gahanna OH 43230-1370
Phone: (614) 741-4411
Fax: (614) 741-4412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35080611 Ohio

Profile Details

NPI number 1023087483
LBN Legal business name Vellucci, Sean Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jan 28th, 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 1023087483 NPPES
Ohio MEDICAID 2410224
Ohio MEDICAID 64103674

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