Credico, John Dominic
Credico, John Dominic is an sole proprietor health care provider with primary practice located at 2751 Bay Park Dr Suite 304, Oregon OH 43616-4921. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as his primary health care specialty. Credico, John Dominic can be contacted via phone (419) 690-7611.Contact Information
Primary practice address
2751 Bay Park Dr Suite 304
Oregon OH 43616-4921
Phone: (419) 690-7611
Fax: (419) 691-1511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 35053584 | Ohio |
Profile Details
| NPI number | 1023002938 |
|---|---|
| LBN Legal business name | Credico, John Dominic |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Mar 11th, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023002938 | NPPES |
| Ohio | MEDICAID | 0601405 |
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