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
Phone: (610) 352-6560
Fax: (484) 466-3132
Website:
Health care specialties
Specialty | Code | License # | 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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