Tricarico, Jacqueline C

Tricarico, Jacqueline C is an individual health care provider with primary practice located at 5620 W Thunderbird Rd Ste B , Glendale AZ 85306-4636. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Tricarico, Jacqueline C can be contacted via phone (602) 206-6262.

Contact Information

Primary practice address
5620 W Thunderbird Rd Ste B Glendale AZ 85306-4636
Phone: (602) 206-6262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-04192 North Carolina
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 7785 Arizona

Profile Details

NPI number 1780925362
LBN Legal business name Tricarico, Jacqueline C
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2013
Last updated Feb 8th, 2022 - about 4 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 1780925362 NPPES
Arizona MEDICAID 7785

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