Dicamillo, Gregory Alan

Dicamillo, Gregory Alan is an sole proprietor health care provider with primary practice located at 418 W Main , Brewster WA 98813. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Dicamillo, Gregory Alan can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
418 W Main Brewster WA 98813
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD61181093 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61181093 Washington

Profile Details

NPI number 1669907077
LBN Legal business name Dicamillo, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2017
Last updated Sep 1st, 2021 - about 3 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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