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Contact Information

PHILIP V BACIDORE, DO
520 S 7TH ST
VINCENNES, IN47591-1038
 Phone: 812-885-3243
 Fax: 812-885-3915
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHILIP V BACIDORE · (Male)

NPI # 1891793634
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/13/2005
Last updated 11/02/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02000845A
  • IN Medicaid 100155190
  • IN Other 000000703373 ANTHEM
Hospital affiliation(s)
  • CRAWFORD MEMORIAL HOSPITAL - (Critical Access)
    1000 NORTH ALLEN STREET
    ROBINSON, IL 62454
  • GOOD SAMARITAN HOSPITAL - (Acute Care)
    520 S 7TH ST
    VINCENNES, IN 47591
  • LAWRENCE COUNTY MEMORIAL HOSPITAL - (Critical Access)
    2200 W STATE ST
    LAWRENCEVILLE, IL 62439
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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