Panicco, Richard

Panicco, Richard is an individual health care provider with primary practice located at 80 Landings Drive Suite 205, Washington PA 15301-9408. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Panicco, Richard can be contacted via phone (724) 941-3020.

Contact Information

Primary practice address
80 Landings Drive Suite 205 Washington PA 15301-9408
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS003143L Pennsylvania

Profile Details

NPI number 1891757621
LBN Legal business name Panicco, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated Feb 23rd, 2015 - about 10 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 1891757621 NPPES
Pennsylvania MEDICAID 000680102004
Pennsylvania Other 108119

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