Cevasco, Nathaniel Charter

Cevasco, Nathaniel Charter is an individual health care provider with primary practice located at 9075 Town Centre Dr Suite 3, Broadview Hts OH 44147-4044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Cevasco, Nathaniel Charter can be contacted via phone (440) 526-4570.

Contact Information

Primary practice address
9075 Town Centre Dr Suite 3 Broadview Hts OH 44147-4044
Phone: (440) 526-4570
Fax: (440) 526-4149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 35094669 Ohio

Profile Details

NPI number 1477746881
LBN Legal business name Cevasco, Nathaniel Charter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Jun 26th, 2012 - about 14 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 1477746881 NPPES
Ohio MEDICAID 3052351

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