Cicchino, Robert Edward

Cicchino, Robert Edward is an individual health care provider with primary practice located at 112 Walnut Ave Suite A, Waynesburg PA 15370-1668. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cicchino, Robert Edward can be contacted via phone (724) 627-5474.

Contact Information

Primary practice address
112 Walnut Ave Suite A Waynesburg PA 15370-1668
Phone: (724) 627-5474
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS008378L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 2222 West Virginia

Profile Details

NPI number 1124019583
LBN Legal business name Cicchino, Robert Edward
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Apr 7th, 2022 - about 4 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 1124019583 NPPES
Ohio MEDICAID 2723459
Ohio MEDICAID 412243700
Ohio MEDICAID 3810008262
Ohio MEDICAID 0016433640004

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