Damico, Eugene Michael
Damico, Eugene Michael is an sole proprietor health care provider with primary practice located at 4735 Stanton Ogletwn Rd Map 2, Ste. 1115, Newark DE 19713-2072. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Damico, Eugene Michael can be contacted via phone (302) 292-1600.Contact Information
Primary practice address
4735 Stanton Ogletwn Rd Map 2, Ste. 1115
Newark DE 19713-2072
Phone: (302) 292-1600
Fax: (302) 292-8629
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | G1-0000952 | Delaware |
Profile Details
| NPI number | 1386699379 |
|---|---|
| LBN Legal business name | Damico, Eugene Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2006 |
| Last updated | Jul 1st, 2008 - 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 | 1386699379 | NPPES |
| Other | 0116093000 | AMERIHEALTH | |
| Other | 4300241 | AMERIHEALTH | |
| MEDICAID | 0000189002 | AMERIHEALTH | |
| Other | 000540991 | AMERIHEALTH |
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