Cicchiello, James R

Cicchiello, James R is an individual health care provider with primary practice located at 7926 Preston Hwy Ste 210, Louisville KY 40219-3848. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Cicchiello, James R can be contacted via phone (502) 966-8675.

Contact Information

Primary practice address
7926 Preston Hwy Ste 210 Louisville KY 40219-3848
Phone: (502) 966-8675
Fax: (502) 966-8836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26217 Kentucky

Profile Details

NPI number 1730144296
LBN Legal business name Cicchiello, James R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Nov 10th, 2014 - 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 1730144296 NPPES
Other 2448315000 PAD - NMA
MEDICAID 64262173 PAD - NMA
Other 1193582 PAD - NMA
Other P00266880 PAD - NMA
Other 000000364343 PAD - NMA
Other 000000720334 PAD - NMA
Other 0724045 PAD - NMA
Other 50007142 PAD - NMA
Other 0000023025F PAD - NMA
Other 062447 PAD - NMA

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