Clerico, Dean M.
Clerico, Dean M. is an sole proprietor health care provider with primary practice located at 190 Welles St , Forty Fort PA 18704-4968. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Clerico, Dean M. can be contacted via phone (570) 283-0524.Contact Information
Primary practice address
190 Welles St
Forty Fort PA 18704-4968
Phone: (570) 283-0524
Fax: (570) 283-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD047846L | Pennsylvania |
Profile Details
| NPI number | 1700814456 |
|---|---|
| LBN Legal business name | Clerico, Dean M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1700814456 | NPPES |
| Pennsylvania | MEDICAID | 0013050350002 |
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