Iacuone, John
Iacuone, John is an individual health care provider with primary practice located at 6630 Quaker Ave Suite I, Lubbock TX 79413-5900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Iacuone, John can be contacted via phone (806) 743-7337.Contact Information
Primary practice address
6630 Quaker Ave Suite I
Lubbock TX 79413-5900
Phone: (806) 743-7337
Fax: (806) 743-2314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | E7627 | Texas |
Profile Details
| NPI number | 1578554184 |
|---|---|
| LBN Legal business name | Iacuone, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1578554184 | NPPES |
| Texas | Other | P0030946 | DPS |
| Texas | Other | 87516Z | DPS |
| Texas | MEDICAID | 18029 | DPS |
| Texas | Other | D002 | DPS |
| Texas | Other | 89C160 | DPS |
| Texas | Other | 18029 | DPS |
| Texas | MEDICAID | U3067 | DPS |
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