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Contact Information

JEFFREY F CAPPUCCIO, D.C.
1635 BRODHEAD RD
MOON, PA15108-3842
 Phone: 724-457-1900
 Fax: 724-457-1901
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for JEFFREY F CAPPUCCIO · (Male)

NPI # 1275538183
Status Active
Credentials D.C. (Doctor of Chiropractic)
Entity Individual
Enumeration date 06/16/2005
Last updated 10/01/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # DC-003212-L
  • PA Medicaid 1723250/01
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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