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Contact Information

RICHARD L MICCO, DPM
1612 WEST STATE ST
NEW CASTLE, PA16101
 Phone: 724-658-8589
 Fax: 724-658-8978
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD L MICCO · (Male)

NPI Number 1649238288
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/03/2006
Last updated 11/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 36002247M
  • PA License # SC002758L
  • PA Medicaid 0984073
Hospital affiliation(s)
  • JAMESON MEMORIAL HOSPITAL - (Acute Care)
    1211 WILMINGTON AVENUE
    NEW CASTLE, PA 16105
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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