Di Giacomo, Quint
Di Giacomo, Quint is an sole proprietor health care provider with primary practice located at 112 W Hill Ave , Gallup NM 87301-6218. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Di Giacomo, Quint can be contacted via phone (505) 722-2289.Contact Information
Primary practice address
112 W Hill Ave
Gallup NM 87301-6218
Phone: (505) 722-2289
Fax: (505) 726-6208
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OP2281 | New Mexico |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 01246 | Arizona |
Profile Details
| NPI number | 1598889891 |
|---|---|
| LBN Legal business name | Di Giacomo, Quint |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Mar 1st, 2011 - about 15 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 | 1598889891 | NPPES |
| New Mexico | MEDICAID | P0516 |
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