Docena, Samuel Chicano

Docena, Samuel Chicano is an sole proprietor health care provider with primary practice located at 1244 Nilles Rd Suite 10, Fairfield OH 45014-2786. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Docena, Samuel Chicano can be contacted via phone (513) 858-6110.

Contact Information

Primary practice address
1244 Nilles Rd Suite 10 Fairfield OH 45014-2786
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 49019 Ohio

Profile Details

NPI number 1376600973
LBN Legal business name Docena, Samuel Chicano
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Aug 6th, 2010 - about 14 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 1376600973 NPPES
Ohio MEDICAID 0739473

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