Dicarlo, Richard

Dicarlo, Richard is an individual health care provider with primary practice located at 2662 W Horizon Ridge Pkwy , Henderson NV 89052-2844. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Dicarlo, Richard can be contacted via phone (702) 616-9660.

Contact Information

Primary practice address
2662 W Horizon Ridge Pkwy Henderson NV 89052-2844
Phone: (702) 616-9660
Fax: (702) 616-9671
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003821 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA997 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA997 Nevada

Profile Details

NPI number 1831167691
LBN Legal business name Dicarlo, Richard
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Dec 9th, 2013 - about 11 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 1831167691 NPPES
Nevada Other P00376993 RAILROAD MEDICARE
Nevada MEDICAID 100509907 RAILROAD MEDICARE

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