David J Licini in Bloomington - Adult Reconstructive Orthopaedic Surgery
David J Licini - NPI 1801086343
David J Licini is a Adult Reconstructive Orthopaedic Surgery in Bloomington, Indiana. David J Licini practices all healthcare services and medical treatments related to Adult Reconstructive Orthopaedic Surgery. The NPI Number for David J Licini is 1801086343. The last update date is 2021-10-27.
David J Licini's current location address is 1302 S Rogers St, Bloomington, Indiana. You can contact this provider via phone number 8123332663 and fax number 8126764131. The mailing address for David J Licini is 1302 S Rogers St, Bloomington, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David J Licini |
|---|---|
| Address | 1302 S Rogers St, Bloomington, Indiana |
| Phone Number | 8123332663 |
| Fax Number | 8126764131 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1801086343 |
|---|---|
| Provider Enumeration Date | 2007-07-31 |
| Last Updated Date | 2021-10-27 |
Provider Mailing Address Detail
| Address | 1302 S Rogers St |
|---|---|
| City | Bloomington |
| State | Indiana (IN) |
| Post Code | 474034752 |
| Phone Number | 8123332663 |
| Fax Number | 8126764131 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Reconstructive Orthopaedic Surgery |
|---|---|
| Taxonomy | 207Xs0114X |
| Licence No | 01071339A |
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Definition: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthrosc |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201119230 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to David J Licini by the Centers for Medicare & Medicaid Services (CMS)?
The David J Licini has been assigned the NPI (National Provider Identifier) 1801086343. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where David J Licini's facilities are situated?
The facilities of David J Licini are physically located at the following address: 1302 S Rogers St, Bloomington, IN, 474034752.
What is David J Licini's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for David J Licini is Adult Reconstructive Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Xs0114X.
On what date did the Centers for Medicare & Medicaid Services assign the 1801086343 to David J Licini?
The Centers for Medicare & Medicaid Services assigned the 1801086343 to David J Licini on 2007-07-31.
When was the information related to David J Licini most recently updated or refreshed?
The details pertaining to the David J Licini, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-10-27.
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