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
Fax: (732) 222-7150
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588752281 NPPES
New Jersey MEDICAID 3298906

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