Deicicchi, David
Deicicchi, David is an sole proprietor health care provider with primary practice located at 41 Avenue Louis Pasteur Ste 216 , Boston MA 02115-5727. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Ambulatory Care. Pharmacy Service Providers / Ambulatory Care is his primary health care specialty. Deicicchi, David can be contacted via phone (617) 264-5872.Contact Information
Primary practice address
41 Avenue Louis Pasteur Ste 216
Boston MA 02115-5727
Phone: (617) 264-5872
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist | 183500000X | PH232796 | Massachusetts |
Pharmacy Service Providers / Ambulatory Care | 1835P2201X | PH232796 | Massachusetts |
Profile Details
NPI number | 1740552835 |
---|---|
LBN Legal business name | Deicicchi, David |
Credentials | PHARMD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 3rd, 2012 |
Last updated | Dec 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740552835 | NPPES |
Massachusetts | Other | MD1123277P | MCSR |
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