Dicicco, Denise

Dicicco, Denise is an individual health care provider with primary practice located at 801 Ostrum St , Bethlehem PA 18015-1000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Dicicco, Denise can be contacted via phone (610) 954-5810.

Contact Information

Primary practice address
801 Ostrum St Bethlehem PA 18015-1000
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X OS-010172-L Pennsylvania

Profile Details

NPI number 1326044611
LBN Legal business name Dicicco, Denise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated Jun 5th, 2024 - about 6 months 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 1326044611 NPPES
Pennsylvania MEDICAID 1715220101

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