Dipuccio, Adam
Dipuccio, Adam is an individual health care provider with primary practice located at 5202 E. Main St. Suite #105, Mesa AZ 85205-8038. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Dipuccio, Adam can be contacted via phone (480) 218-1328.Contact Information
Primary practice address
5202 E. Main St. Suite #105
Mesa AZ 85205-8038
Phone: (480) 218-1328
Fax: (480) 218-1330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | DA2043 | Arizona |
Profile Details
| NPI number | 1396791141 |
|---|---|
| LBN Legal business name | Dipuccio, Adam |
| Credentials | C.C.C.-A.F.A.A.A. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 27th, 2012 - about 14 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 | 1396791141 | NPPES |
| Arizona | MEDICAID | 894164 | |
| Arizona | Other | 1396791141 | |
| Arizona | Other | DA2043 | |
| Arizona | Other | 1881708261 | |
| Arizona | Other | Y16021 |
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