Vaccaro, Paul G

Vaccaro, Paul G is an individual health care provider with primary practice located at 200 8Th St , Radford VA 24141-2426. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vaccaro, Paul G can be contacted via phone (540) 639-5188.

Contact Information

Primary practice address
200 8Th St Radford VA 24141-2426
Fax: (540) 639-9215
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101229097 Virginia

Profile Details

NPI number 1144284365
LBN Legal business name Vaccaro, Paul G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 3rd, 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 1144284365 NPPES
Virginia MEDICAID 006713432

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