Dicicco, Joseph D.

Dicicco, Joseph D. is an individual health care provider with primary practice located at 4160 Little York Rd Ste. 10, Dayton OH 45414-5800. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Trauma, which is considered as his primary health care specialty. Dicicco, Joseph D. can be contacted via phone (937) 415-9100.

Contact Information

Primary practice address
4160 Little York Rd Ste. 10 Dayton OH 45414-5800
Fax: (937) 415-9191
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Trauma 207XX0801X 5545 Ohio

Profile Details

NPI number 1871595868
LBN Legal business name Dicicco, Joseph D.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Mar 16th, 2012 - about 14 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 1871595868 NPPES
Ohio Other P00657292 RR MEDICARE
Ohio Other 930051658 RR MEDICARE
Ohio MEDICAID 0264539 RR MEDICARE

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