Colacicco, Michael

Colacicco, Michael is an sole proprietor health care provider with primary practice located at 17119 Cedar Dr , Edmond OK 73012-6888. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is his primary health care specialty. Colacicco, Michael can be contacted via phone (908) 642-7957.

Contact Information

Primary practice address
17119 Cedar Dr Edmond OK 73012-6888
Phone: (908) 642-7957
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 613 Oklahoma
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 613 Oklahoma

Profile Details

NPI number 1831585736
LBN Legal business name Colacicco, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2015
Last updated Apr 8th, 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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