Iaccarino, Phillip

Iaccarino, Phillip is an individual health care provider with primary practice located at 4000 Foxhound Dr , Lafayette Hill PA 19444-1014. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Iaccarino, Phillip can be contacted via phone (215) 402-8500.

Contact Information

Primary practice address
4000 Foxhound Dr Lafayette Hill PA 19444-1014
Phone: (215) 402-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT028504 Pennsylvania

Profile Details

NPI number 1285111872
LBN Legal business name Iaccarino, Phillip
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2018
Last updated Mar 3rd, 2022 - about 2 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 1285111872 NPPES
Tennessee MEDICAID 0446631

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