Diciro, Dominic Theodore

Diciro, Dominic Theodore is an individual health care provider with primary practice located at 1321 Colby Ave , Everett WA 98201-1665. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Diciro, Dominic Theodore can be contacted via phone (425) 261-2000.

Contact Information

Primary practice address
1321 Colby Ave Everett WA 98201-1665
Phone: (425) 261-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 31881 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X MD000045375 Washington
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2012003239 Missouri

Profile Details

NPI number 1376596981
LBN Legal business name Diciro, Dominic Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Apr 19th, 2022 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376596981 NPPES
Washington MEDICAID 8436651

Popular Providers