Dicamillo, Theresa Marie
Dicamillo, Theresa Marie is an sole proprietor health care provider with primary practice located at 4851 Independence St , Wheat Ridge CO 80033-6715. She recently has only one registered license in Behavioral Health & Social Service Providers / Prescribing (Medical), which is considered as her primary health care specialty. Dicamillo, Theresa Marie can be contacted via phone (303) 432-5040.Contact Information
Primary practice address
4851 Independence St
Wheat Ridge CO 80033-6715
Phone: (303) 432-5040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Prescribing (Medical) | 103TP0016X | 2745171 | Colorado |
Profile Details
| NPI number | 1710362215 |
|---|---|
| LBN Legal business name | Dicamillo, Theresa Marie |
| Credentials | MEDICAL ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2015 |
| Last updated | Jul 25th, 2015 - about 10 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 | 1710362215 | NPPES |
| Colorado | Other | 20308 | BASIC LIFE SUPPORT |
| Colorado | Other | 2745171 | BASIC LIFE SUPPORT |
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