Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 4301091602 | MI |
N | 207KA0200X | Allergist | Q0903 | TX |
N | 207RA0201X | Internist - Allergy & Immunology | 4301091602 | MI |
N | 208000000X | Pediatrician | 20467 | ME |
N | 208000000X | Pediatrician | 35.088962 | OH |
N | 208000000X | Pediatrician | 4301091602 | MI |
N | 208000000X | Pediatrician | 47038 | KY |
N | 208000000X | Pediatrician | Q0903 | TX |
N | 2080P0201X | Pediatric Allergist | 35.088962 | OH |
N | 2080P0201X | Pediatric Allergist | 47038 | KY |
NPI | 1447373212 |
---|---|
Provider Name | Carrie Ann Dichiaro |
First Address | Lexington, KY 40523-3994 |
Second Address | Bellevue, OH 44811-9088 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2007 |
Last Update Date | 21/09/2021 |