Cannillo, Frederick

Cannillo, Frederick is an sole proprietor health care provider with primary practice located at 532 W Pittsburgh St , Greensburg PA 15601-2239. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cannillo, Frederick can be contacted via phone (724) 832-4450.

Contact Information

Primary practice address
532 W Pittsburgh St Greensburg PA 15601-2239
Fax: (724) 830-6669
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW013943 Pennsylvania

Profile Details

NPI number 1306951322
LBN Legal business name Cannillo, Frederick
Credentials LCSW,QCSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2006
Last updated Jul 9th, 2007 - about 19 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 1306951322 NPPES
Pennsylvania MEDICAID 1000863

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