Bacidore, Philip V

Bacidore, Philip V is an individual health care provider with primary practice located at 520 S 7Th St , Vincennes IN 47591-1038. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Bacidore, Philip V can be contacted via phone (812) 885-3243.

Contact Information

Primary practice address
520 S 7Th St Vincennes IN 47591-1038
Fax: (812) 885-3915
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 02000845A Indiana

Profile Details

NPI number 1891793634
LBN Legal business name Bacidore, Philip V
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Nov 2nd, 2015 - about 9 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 1891793634 NPPES
Indiana MEDICAID 100155190
Indiana Other 000000703373

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