Vicidomini, Dennis Anthony

Vicidomini, Dennis Anthony is an individual health care provider with primary practice located at 1905 Split Rock Rd , Lancaster PA 17601-6421. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Vicidomini, Dennis Anthony can be contacted via phone (717) 898-5515.

Contact Information

Primary practice address
1905 Split Rock Rd Lancaster PA 17601-6421
Phone: (717) 898-5515
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X RT001392A Pennsylvania

Profile Details

NPI number 1003195595
LBN Legal business name Vicidomini, Dennis Anthony
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2011
Last updated Aug 15th, 2011 - about 14 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 1003195595 NPPES
Pennsylvania MEDICAID 22

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