Provider Demographics
NPI:1750787065
Name:SCAPERATO, MICHAEL ROCCO (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:ROCCO
Last Name:SCAPERATO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3094 W MARKET ST STE 350
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3626
Mailing Address - Country:US
Mailing Address - Phone:234-334-7770
Mailing Address - Fax:234-334-7772
Practice Address - Street 1:3094 W MARKET ST STE 350
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3618
Practice Address - Country:US
Practice Address - Phone:234-347-7702
Practice Address - Fax:234-334-7772
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2022-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4615111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor