Vito, Kenneth J
Vito, Kenneth J is an individual health care provider with primary practice located at 7580 Auburn Road #103, Painesville OH 44077. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Vito, Kenneth J can be contacted via phone (440) 352-1474.Contact Information
Primary practice address
7580 Auburn Road #103
Painesville OH 44077
Phone: (440) 352-1474
Fax: (440) 352-2662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 35-069985 | Ohio |
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 35-069985 | Ohio |
Profile Details
| NPI number | 1629048194 |
|---|---|
| LBN Legal business name | Vito, Kenneth J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Feb 16th, 2010 - about 16 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 | 1629048194 | NPPES |
| Ohio | MEDICAID | 0244533 | |
| Ohio | Other | 000000133450 | |
| Ohio | Other | 54721 | |
| Ohio | Other | 104635 | |
| Ohio | Other | 3415313198A14 | |
| Ohio | Other | 040013864 |
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