Caccamo, Kevin Anthony

Caccamo, Kevin Anthony is an sole proprietor health care provider with primary practice located at 5137 E 1100 S # 2 , Keystone IN 46759-9752. He recently has only one registered license in Transportation Services / Private Vehicle, which is considered as his primary health care specialty. Caccamo, Kevin Anthony can be contacted via phone (260) 346-2961.

Contact Information

Primary practice address
5137 E 1100 S # 2 Keystone IN 46759-9752
Phone: (260) 346-2961
Fax: (260) 346-2961
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Private Vehicle 347C00000X 8926571882 Indiana

Profile Details

NPI number 1720417397
LBN Legal business name Caccamo, Kevin Anthony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 4th, 2013
Last updated Nov 4th, 2013 - about 11 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 1720417397 NPPES
Indiana MEDICAID 201167230A

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