Baciocco, John A
Baciocco, John A is an individual health care provider with primary practice located at 222 Tongass Dr , Sitka AK 99835-9416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baciocco, John A can be contacted via phone (907) 966-2411.Contact Information
Primary practice address
222 Tongass Dr
Sitka AK 99835-9416
Phone: (907) 966-2411
Fax: (907) 966-8606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3695 | Alaska |
Profile Details
| NPI number | 1124005731 |
|---|---|
| LBN Legal business name | Baciocco, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 23rd, 2005 |
| Last updated | Apr 22nd, 2010 - about 14 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 | 1124005731 | NPPES |
| Alaska | MEDICAID | MD3695 |
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