Capezzuto, Matthew Anthony

Capezzuto, Matthew Anthony is an sole proprietor health care provider with primary practice located at 22540 Lorain Rd , Fairview Park OH 44126-2212. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Capezzuto, Matthew Anthony can be contacted via phone (440) 734-4037.

Contact Information

Primary practice address
22540 Lorain Rd Fairview Park OH 44126-2212
Phone: (440) 734-4037
Fax: (440) 734-4710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I7623 Ohio
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7071 Ohio

Profile Details

NPI number 1609972017
LBN Legal business name Capezzuto, Matthew Anthony
Credentials LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Apr 15th, 2017 - about 9 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 1609972017 NPPES
Ohio Other 2594518 MEDICAID PROVIDER REPORTING NUMBER

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