Caccamo, David J
Caccamo, David J is an individual health care provider with primary practice located at 930 Blue Gentian Rd Ste 1000 , Eagan MN 55121-1675. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Caccamo, David J can be contacted via phone (651) 683-2507.Contact Information
Primary practice address
930 Blue Gentian Rd Ste 1000
Eagan MN 55121-1675
Phone: (651) 683-2507
Fax: (651) 340-1093
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 39307 | Minnesota |
Profile Details
| NPI number | 1972575470 |
|---|---|
| LBN Legal business name | Caccamo, David J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Sep 25th, 2020 - about 4 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 | 1972575470 | NPPES |
| Minnesota | MEDICAID | 577525600 |
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