Peroulakis, Angelo

Peroulakis, Angelo is an individual health care provider with primary practice located at 6479 S Raccoon Rd , Canfield OH 44406-9270. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Peroulakis, Angelo can be contacted via phone (330) 533-6327.

Contact Information

Primary practice address
6479 S Raccoon Rd Canfield OH 44406-9270
Fax: (330) 533-0425
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2418 Ohio

Profile Details

NPI number 1215939640
LBN Legal business name Peroulakis, Angelo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 8th, 2007 - about 19 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 1215939640 NPPES
Ohio Other 000000370053 ANTHEM PROVIDER ID
Ohio MEDICAID 2021270 ANTHEM PROVIDER ID

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