Dinicola, Louis A.

Dinicola, Louis A. is an individual health care provider with primary practice located at 44 S Main St , Randolph VT 05060-1381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Dinicola, Louis A. can be contacted via phone (802) 728-2420.

Contact Information

Primary practice address
44 S Main St Randolph VT 05060-1381
Phone: (802) 728-2420
Fax: (802) 728-2613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0420005728 Vermont

Profile Details

NPI number 1225040629
LBN Legal business name Dinicola, Louis A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2006
Last updated May 1st, 2014 - about 12 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 1225040629 NPPES
Vermont MEDICAID 0004644

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