Digiacomo, Michael

Digiacomo, Michael is an sole proprietor health care provider with primary practice located at 445 30Th St , Oakland CA 94609-3301. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Digiacomo, Michael can be contacted via phone (510) 465-8012.

Contact Information

Primary practice address
445 30Th St Oakland CA 94609-3301
Phone: (510) 465-8012
Fax: (510) 835-1626
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E1909 California

Profile Details

NPI number 1558377465
LBN Legal business name Digiacomo, Michael
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Dec 7th, 2015 - about 9 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 1558377465 NPPES
California Other 000E19090 MEDI-CAL PROVIDER NUMBER

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