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Contact Information

JOHN A BACIOCCO, MD
222 TONGASS DR
SITKA, AK99835-9416
 Phone: 907-966-2411
 Fax: 907-966-8606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JOHN A BACIOCCO · (Male)

NPI # 1124005731
Status Active
Credentials MD
Entity Individual
Enumeration date 12/23/2005
Last updated 04/22/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AK License # 3695
  • AK Medicaid MD3695
Hospital affiliation(s) Not Available
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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