Chelucci, Kenneth M.
Chelucci, Kenneth M. is an sole proprietor health care provider with primary practice located at 3404 W Sylvania Ave , Toledo OH 43623-4467. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Chelucci, Kenneth M. can be contacted via phone (419) 407-2663.Contact Information
Primary practice address
3404 W Sylvania Ave
Toledo OH 43623-4467
Phone: (419) 407-2663
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 35046162 | Ohio |
Profile Details
| NPI number | 1073594719 |
|---|---|
| LBN Legal business name | Chelucci, Kenneth M. |
| Credentials | MDF |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Nov 23rd, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073594719 | NPPES |
| Ohio | MEDICAID | 0538538 |
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