Sica, Domenic A.

Sica, Domenic A. is an individual health care provider with primary practice located at 1250 E Marshall St , Richmond VA 23298-5051. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Sica, Domenic A. can be contacted via phone (828) 655-3804.

Contact Information

Primary practice address
1250 E Marshall St Richmond VA 23298-5051
Phone: (828) 655-3804
Fax: (828) 571-7804
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101027527 Virginia
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 0101027527 Virginia

Profile Details

NPI number 1932282811
LBN Legal business name Sica, Domenic A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Feb 14th, 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 1932282811 NPPES
Virginia MEDICAID 6000118

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