Barraco, Dennis A

Barraco, Dennis A is an individual health care provider with primary practice located at 520 Rose Ln Wickenburg Regional Med Center, Wickenburg AZ 85390-1447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Barraco, Dennis A can be contacted via phone (928) 684-5421.

Contact Information

Primary practice address
520 Rose Ln Wickenburg Regional Med Center Wickenburg AZ 85390-1447
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2099 Arizona

Profile Details

NPI number 1144203035
LBN Legal business name Barraco, Dennis A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Jul 8th, 2007 - about 17 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 1144203035 NPPES
Arizona Other 3981220 EVERCARE GROUP #
Arizona MEDICAID 257106 EVERCARE GROUP #
Arizona Other AZ02728670 EVERCARE GROUP #
Arizona Other AW1436 EVERCARE GROUP #

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