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Contact Information

THERESA A COVELLO, DO
223 CIBEQUE CIRCLE ROAD
SAN CARLOS, AZ85550
 Phone: 928-475-7219
 Fax: 928-475-7370
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for THERESA A COVELLO · (Female)

NPI # 1407965619
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/30/2006
Last updated 05/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • PA License # OS010257L
  • AZ Medicaid 827321
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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