Richard D. Dibacco in Erie - Primary Podiatric Medicine

Richard D. Dibacco - NPI 1609849934

Richard D. Dibacco is a Primary Podiatric Medicine in Erie, Pennsylvania. Richard D. Dibacco practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Richard D. Dibacco is 1609849934. The last update date is 2010-06-30.

Richard D. Dibacco's current location address is 4402 Peach St, Erie, Pennsylvania. You can contact this provider via phone number 8148644874 and fax number 8148644877. The mailing address for Richard D. Dibacco is 4402 Peach St, Erie, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard D. Dibacco
Address 4402 Peach St, Erie, Pennsylvania
Phone Number 8148644874
Fax Number 8148644877
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1609849934
Provider Enumeration Date 2006-02-08
Last Updated Date 2010-06-30

Provider Mailing Address Detail

Address 4402 Peach St
City Erie
State Pennsylvania (PA)
Post Code 165091358
Phone Number 8148644874
Fax Number 8148644877

Provider's Primary Taxonomy Detail

Speciality Primary Podiatric Medicine
Taxonomy 213Ep1101X
Licence No SC001282L
Definition:
A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
000501005-0001 PA --

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FAQs about Richard D. Dibacco

What is the unique 10-digit identification code assigned to Richard D. Dibacco by the Centers for Medicare & Medicaid Services?

The Richard D. Dibacco has been issued the NPI (National Provider Identifier) 1609849934, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Richard D. Dibacco is geographically located?

The Richard D. Dibacco is physically situated at the following location: 4402 Peach St, Erie, PA, 165091358.

What is Richard D. Dibacco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Richard D. Dibacco's specialized field of practice is Primary Podiatric Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 213Ep1101X.

When did Richard D. Dibacco receive its 1609849934 assignment?

The Richard D. Dibacco was assigned its 1609849934 on 2006-02-08, which is the date when this unique identifier was issued to the organization.

When was the information related to Richard D. Dibacco most recently updated or refreshed?

The details pertaining to the Richard D. Dibacco, including its address, specialty, and other relevant information, were last updated or refreshed on 2010-06-30.

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