Locicero, Richard John

Locicero, Richard John is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Locicero, Richard John can be contacted via phone (770) 297-5700.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Fax: (770) 718-1877
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 048535 Georgia
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 048535 Georgia

Profile Details

NPI number 1578543948
LBN Legal business name Locicero, Richard John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Jan 25th, 2024 - about 8 months 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 1578543948 NPPES
Georgia MEDICAID 000864498A
Georgia Other 10045340
Georgia Other 2993017
Georgia Other 340868
Georgia Other 3600108
Georgia Other 7286112
Georgia Other 52702518
Georgia Other 830007840

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