Dicuccio, William Carroll

Dicuccio, William Carroll is an individual health care provider with primary practice located at 480 E Jefferson St , Butler PA 16001-4780. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dicuccio, William Carroll can be contacted via phone (724) 282-1530.

Contact Information

Primary practice address
480 E Jefferson St Butler PA 16001-4780
Fax: (724) 282-0902
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD422570 Pennsylvania

Profile Details

NPI number 1487636403
LBN Legal business name Dicuccio, William Carroll
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jan 17th, 2024 - about 11 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 1487636403 NPPES
Pennsylvania MEDICAID 1009897150001

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