Cecconi, Richard D

Cecconi, Richard D is an individual health care provider with primary practice located at 1711 S Stephenson Ave Suite 305, Iron Mountain MI 49801-3637. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cecconi, Richard D can be contacted via phone (906) 774-0330.

Contact Information

Primary practice address
1711 S Stephenson Ave Suite 305 Iron Mountain MI 49801-3637
Phone: (906) 774-0330
Fax: (906) 774-2584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301047328 Michigan

Profile Details

NPI number 1134135536
LBN Legal business name Cecconi, Richard D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 2007 - about 17 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 1134135536 NPPES
Wisconsin MEDICAID 30846000
Wisconsin MEDICAID 1820146

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