Pica, Gerald Dean

Pica, Gerald Dean is an individual health care provider with primary practice located at 611 W Park St , Urbana IL 61801-2500. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Pica, Gerald Dean can be contacted via phone (217) 337-2377.

Contact Information

Primary practice address
611 W Park St Urbana IL 61801-2500
Phone: (217) 337-2377
Fax: (217) 326-2324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070002194 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.002194 Illinois

Profile Details

NPI number 1174649628
LBN Legal business name Pica, Gerald Dean
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2007
Last updated Oct 4th, 2013 - about 13 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 1174649628 NPPES
Other 113326 HEALTHLINK PROV ID
Other 203 HEALTHLINK PROV ID
Other 4117 HEALTHLINK PROV ID
Other 7216 HEALTHLINK PROV ID

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