Cicero, John Charles
Cicero, John Charles is an individual health care provider with primary practice located at 1007 N Main St , Dayville CT 06241-2170. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cicero, John Charles can be contacted via phone (860) 774-2020.Contact Information
Primary practice address
1007 N Main St
Dayville CT 06241-2170
Phone: (860) 774-2020
Fax: (860) 779-5437
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ISW01940 | Rhode Island |
Profile Details
| NPI number | 1427246909 |
|---|---|
| LBN Legal business name | Cicero, John Charles |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2007 |
| Last updated | Mar 10th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427246909 | NPPES |
| Connecticut | MEDICAID | 004040564 |
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