Dicarlo, Kenneth
Dicarlo, Kenneth is an sole proprietor health care provider with primary practice located at 351 Monmouth Road , West Long Branch NJ 07764. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Dicarlo, Kenneth can be contacted via phone (732) 222-7978.Contact Information
Primary practice address
351 Monmouth Road
West Long Branch NJ 07764
Phone: (732) 222-7978
Fax: (732) 222-7150
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | MC02860 | New Jersey |
Profile Details
NPI number | 1588752281 |
---|---|
LBN Legal business name | Dicarlo, Kenneth |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 10th, 2006 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1588752281 | NPPES |
New Jersey | MEDICAID | 3298906 |
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