Caicedo, Jennifer Laiacona

Caicedo, Jennifer Laiacona is an individual health care provider with primary practice located at 8045 Providence Rd Ste 300 , Charlotte NC 28277. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Caicedo, Jennifer Laiacona can be contacted via phone (704) 341-9600.

Contact Information

Primary practice address
8045 Providence Rd Ste 300 Charlotte NC 28277
Phone: (704) 341-9600
Fax: (855) 380-3762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2009-00855 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 2009-00855 North Carolina

Profile Details

NPI number 1043490113
LBN Legal business name Caicedo, Jennifer Laiacona
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2007
Last updated Jul 21st, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043490113 NPPES
South Carolina MEDICAID AA53535215
South Carolina MEDICAID 10434901113

Popular Providers