| Daniel T Sicking Md Pa | |
|
14341 New Falls Of Neuse Ste 100 Raleigh NC 27614-8292 | |
| (919) 562-4441 | |
| (919) 562-5779 |
| Full Name | Daniel T Sicking Md Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 14341 New Falls Of Neuse Ste 100, Raleigh, North Carolina |
| Authorized Official Name and Position | Dan Sicking (PRESIDENT) |
| Authorized Official Contact | 9195624441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel T Sicking Md Pa 14341 New Falls Of Neuse Ste 100 Raleigh NC 27614-8292 Ph: (919) 562-4441 | Daniel T Sicking Md Pa 14341 New Falls Of Neuse Ste 100 Raleigh NC 27614-8292 Ph: (919) 562-4441 |
| NPI Number | 1861678120 |
|---|---|
| Provider Enumeration Date | 01/17/2008 |
| Last Update Date | 01/24/2008 |
| Medicare PECOS PAC ID | 3870653785 |
|---|---|
| Medicare Enrollment ID | O20081122000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861678120 | NPI | - | NPPES |
| 7976118 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9300396 (North Carolina) | Primary |
| Provider Name | Daniel Thomas Sicking |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346218385 PECOS PAC ID: 1153481064 Enrollment ID: I20081122000025 |
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