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NPI Code Detail

MEDICARE: DR. DANIEL C LOPICCOLO M.D.

MEDICARE: DR. DANIEL C LOPICCOLO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician01047272IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
4160049154OTHERINMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2351425221102OTHERINCARESOURCE
3000000083914OTHERINANTHEM

General Provider Information

NPI Number : 1235116443
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL C LOPICCOLO M.D.
Provider Business Mailing Address
First Line : 1200 W WHITE RIVER BLVD
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4988
Country : US
Telephone Number : 877-668-5621
Fax Number :
Provider Business Practice Location Address
First Line : 5501 W BETHEL AVE STE C
Second Line :
City : MUNCIE
State : IN
Zip : 47304-8513
Country : US
Telephone Number : 765-286-3900
Fax Number : 765-286-3915
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2005
Last Update Date : 01/25/2021

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