National Provider Identifier Database

DAVID J LICINI, MD – NPI #1801086343
Orthopaedic Surgery

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.


Contact Information

DAVID J LICINI, MD
1302 S ROGERS ST
BLOOMINGTON, IN47403-4752
Phone: 812-333-2663
Fax: 812-676-4131
Website:
Specialty Taxonomy Code
* Orthopaedic Surgery 207X00000X
Adult Reconstructive Orthopaedic Surgery 207XS0114X

* Indicates primary specialty

NPI Profile & details for DAVID J LICINI

NPI Number 1801086343
Credentials MD
Entity Individual
Enumeration date 07/31/2007
Last updated 10/27/2021 - About 5 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01071339A
  • IN Medicaid: 201119230
Hospital affiliation n/a

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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