Iaccarino, Nicholas Vincent

Iaccarino, Nicholas Vincent is an individual health care provider with primary practice located at 529 Terry Reiley Way , Pottsville PA 17901-1774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Iaccarino, Nicholas Vincent can be contacted via phone (570) 624-4444.

Contact Information

Primary practice address
529 Terry Reiley Way Pottsville PA 17901-1774
Phone: (570) 624-4444
Fax: (570) 624-4445
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS021016 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OT017881 Pennsylvania

Profile Details

NPI number 1285160291
LBN Legal business name Iaccarino, Nicholas Vincent
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2017
Last updated Oct 5th, 2021 - about 3 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 1285160291 NPPES
Pennsylvania Other OT017881 PENNSYLVANIA LICENSE

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