Corallo, David J
Corallo, David J is an sole proprietor health care provider with primary practice located at 18586 5Th St , Beloit OH 44609-9799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Corallo, David J can be contacted via phone (330) 938-3333.Contact Information
Primary practice address
18586 5Th St
Beloit OH 44609-9799
Phone: (330) 938-3333
Fax: (330) 938-9375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 34006945C | Ohio |
Profile Details
| NPI number | 1225126212 |
|---|---|
| LBN Legal business name | Corallo, David J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Feb 9th, 2010 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225126212 | NPPES |
| Ohio | Other | 070016762 | RAIL ROAD MEDICARE |
| Ohio | MEDICAID | 2241425 | RAIL ROAD MEDICARE |
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