Dacquisto, Nicole
Dacquisto, Nicole is an sole proprietor health care provider with primary practice located at 3351 El Camino Real Suite 180, Atherton CA 94027-3811. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as her primary health care specialty. Dacquisto, Nicole can be contacted via phone (650) 365-8350.Contact Information
Primary practice address
3351 El Camino Real Suite 180
Atherton CA 94027-3811
Phone: (650) 365-8350
Fax: (650) 368-8353
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X | PT28642 | California |
Profile Details
NPI number | 1639299365 |
---|---|
LBN Legal business name | Dacquisto, Nicole |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 29th, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1639299365 | NPPES |
California | Other | PT28642 | PT LICENSE |
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