Civillico, Nicholas John

Civillico, Nicholas John is an sole proprietor health care provider with primary practice located at 626 Burmond Rd. , Drexel Hill PA 19026. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Civillico, Nicholas John can be contacted via phone (610) 352-6560.

Contact Information

Primary practice address
626 Burmond Rd. Drexel Hill PA 19026
Fax: (484) 466-3132
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS019365L Pennsylvania

Profile Details

NPI number 1073774048
LBN Legal business name Civillico, Nicholas John
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2008
Last updated Sep 26th, 2018 - about 7 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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