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Contact Information

JARED CICERO, DPM
48 TUNNEL RD STE 203
POTTSVILLE, PA17901
 Phone: 570-624-4777
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JARED CICERO · (Male)

NPI Number 1942722152
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/10/2017
Last updated 04/06/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • KY License # 481
  • KY Other 481 KENTUCKY STATE LICENSE
Hospital affiliation(s)
  • SCHUYLKILL MEDICAL CENTER - SOUTH JACKSON STREET - (Acute Care)
    420 SOUTH JACKSON STREET
    POTTSVILLE, PA 17901
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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