Ceravolo, Joseph Frank

Ceravolo, Joseph Frank is an individual health care provider with primary practice located at 1240 Brookstone Centre Parkway , Columbus GA 31904-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ceravolo, Joseph Frank can be contacted via phone (706) 323-8127.

Contact Information

Primary practice address
1240 Brookstone Centre Parkway Columbus GA 31904-2988
Phone: (706) 323-8127
Fax: (706) 596-4837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X GA 052155 Georgia

Profile Details

NPI number 1508857038
LBN Legal business name Ceravolo, Joseph Frank
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Mar 21st, 2011 - about 15 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 1508857038 NPPES
Alabama Other BCBS MONTGOMERY SURGERY CENTER
Alabama MEDICAID 00979349A MONTGOMERY SURGERY CENTER

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