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
Phone: (513) 858-6110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376600973 | NPPES |
| Ohio | MEDICAID | 0739473 |
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