Dibacco, Richard D.

Dibacco, Richard D. is an sole proprietor health care provider with primary practice located at 4402 Peach St , Erie PA 16509-1358. He recently has 4 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, Podiatric Medicine & Surgery Service Providers / Radiology, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Dibacco, Richard D. can be contacted via phone (814) 864-4874.

Contact Information

Primary practice address
4402 Peach St Erie PA 16509-1358
Phone: (814) 864-4874
Fax: (814) 864-4877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X SC001282L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Radiology 213ER0200X SC001282L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC001282L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X SC001282L Pennsylvania

Profile Details

NPI number 1609849934
LBN Legal business name Dibacco, Richard D.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Jun 30th, 2010 - about 16 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 1609849934 NPPES
Pennsylvania MEDICAID 000501005-0001

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