Iannicca, David

Iannicca, David is an sole proprietor health care provider with primary practice located at 15946 N Bullard Ave , Surprise AZ 85374-8844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Iannicca, David can be contacted via phone (816) 277-2954.

Contact Information

Primary practice address
15946 N Bullard Ave Surprise AZ 85374-8844
Phone: (816) 277-2954
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 0126000756 Virginia

Profile Details

NPI number 1245455666
LBN Legal business name Iannicca, David
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 13th, 2007
Last updated Jul 8th, 2007 - about 18 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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