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Contact Information

JEFFREY J NICCOLI, DPM
2225 CENTRAL AVE
ALAMEDA, CA94501
 Phone: 510-521-3410
 Fax: 510-521-2521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JEFFREY J NICCOLI · (Male)

NPI # 1497716971
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/01/2006
Last updated 02/11/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # E3781
  • CA Other 000E37810 MEDICARE
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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