Dericco, Joseph A
Dericco, Joseph A is an individual health care provider with primary practice located at 1 Boone Rd , Bremerton WA 98312-1894. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dericco, Joseph A can be contacted via phone (360) 475-4426.Contact Information
Primary practice address
1 Boone Rd
Bremerton WA 98312-1894
Phone: (360) 475-4426
Fax: (360) 475-4344
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1790751543 |
|---|---|
| LBN Legal business name | Dericco, Joseph A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| 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.
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