Dicesare, Jacob A
Dicesare, Jacob A is an individual health care provider with primary practice located at 438 Pellis Rd , Greensburg PA 15601-7900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Dicesare, Jacob A can be contacted via phone (724) 261-4080.Contact Information
Primary practice address
438 Pellis Rd
Greensburg PA 15601-7900
Phone: (724) 261-4080
Fax: (724) 261-4081
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | OS014434 | Pennsylvania |
Profile Details
| NPI number | 1184862427 |
|---|---|
| LBN Legal business name | Dicesare, Jacob A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2009 |
| Last updated | Sep 8th, 2020 - about 4 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 | 1184862427 | NPPES |
| Pennsylvania | MEDICAID | 102533207 0001 |
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