Caicco, Gene

Caicco, Gene is an sole proprietor health care provider with primary practice located at 11900 E 12 Mile Rd Suite 102, Warren MI 48093-3400. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Caicco, Gene can be contacted via phone (586) 573-7470.

Contact Information

Primary practice address
11900 E 12 Mile Rd Suite 102 Warren MI 48093-3400
Phone: (586) 573-7470
Fax: (586) 573-0850
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X GC001745 Michigan

Profile Details

NPI number 1568462133
LBN Legal business name Caicco, Gene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2005
Last updated Oct 27th, 2011 - about 13 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 1568462133 NPPES
Michigan Other 383523897 PPOM
Michigan Other 5901001745 PPOM
Michigan MEDICAID 4246887 PPOM
Michigan Other 383523897 PPOM
Michigan Other 383523897 PPOM

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