Dipuccio, Adam

Dipuccio, Adam is an individual health care provider with primary practice located at 5202 E. Main St. Suite #105, Mesa AZ 85205-8038. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Dipuccio, Adam can be contacted via phone (480) 218-1328.

Contact Information

Primary practice address
5202 E. Main St. Suite #105 Mesa AZ 85205-8038
Phone: (480) 218-1328
Fax: (480) 218-1330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA2043 Arizona

Profile Details

NPI number 1396791141
LBN Legal business name Dipuccio, Adam
Credentials C.C.C.-A.F.A.A.A.
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Aug 27th, 2012 - about 12 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 1396791141 NPPES
Arizona MEDICAID 894164
Arizona Other 1396791141
Arizona Other DA2043
Arizona Other 1881708261
Arizona Other Y16021

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