Decicco, Anthony

Decicco, Anthony is an individual health care provider with primary practice located at 1 Edmundson Pl Ste 306 , Council Bluffs IA 51503-4620. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Decicco, Anthony can be contacted via phone (712) 396-7787.

Contact Information

Primary practice address
1 Edmundson Pl Ste 306 Council Bluffs IA 51503-4620
Phone: (712) 396-7787
Fax: (712) 396-4115
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD461669 Pennsylvania
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0059581 Colorado

Profile Details

NPI number 1932499886
LBN Legal business name Decicco, Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2011
Last updated Jun 27th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932499886 NPPES
Other 14024682 CAQH

Popular Providers