Caccamo, Michael

Caccamo, Michael is an individual health care provider with primary practice located at 540 Lincoln Park Blvd Ste 130, Kettering OH 45429-6401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Caccamo, Michael can be contacted via phone (937) 297-6306.

Contact Information

Primary practice address
540 Lincoln Park Blvd Ste 130 Kettering OH 45429-6401
Phone: (937) 297-6306
Fax: (937) 299-6300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 34-00-6134C Ohio
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101010916 Michigan

Profile Details

NPI number 1053303149
LBN Legal business name Caccamo, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 1st, 2014 - about 10 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 1053303149 NPPES
Ohio MEDICAID 0145033

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