Dicicco, Richard W
Dicicco, Richard W is an individual health care provider with primary practice located at 1 Myers Avenue , Cedar Brook NJ 08018. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dicicco, Richard W can be contacted via phone (609) 561-1150.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 38MC00418400 | New Jersey |
Profile Details
| NPI number | 1073668265 |
|---|---|
| LBN Legal business name | Dicicco, Richard W |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073668265 | NPPES |
| New Jersey | Other | 0673372000 | AMERIHEALTH |
| New Jersey | Other | 2230846 | AMERIHEALTH |
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