Dr. Richard D. Dibacco
Radiology Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
4402 Peach St
Erie
, Pennsylvania 16509-1358
Dr. Richard D. Dibacco
Radiology Foot Surgery Foot & Ankle Surgery Primary Podiatric Medicine
4402 Peach St
Erie
, Pennsylvania 16509-1358
(814) 864-4877
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About
Features
Specialties
- Primary Podiatric Medicine
- Radiology
- Foot & Ankle Surgery
- Foot Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard D. Dibacco
- 4402 Peach St
- Erie, PA
- Zip : 16509-1358
- Fax : (814) 864-4877
- Phone : (814) 864-4874
Second Address
- Dr. Richard D. Dibacco
- 4402 Peach St
- Erie, PA
- Zip : 16509-1358
- Fax : (814) 864-4877
- Phone : (814) 864-4874
Reviews
FAQs
Where did Dr. Richard D. Dibacco attend graduate school?
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What type of doctor is Dr. Richard D. Dibacco
In what state does Dr. Richard D. Dibacco practice in?
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Is Dr. Richard D. Dibacco a sole practitioner?
Is Dr. Richard D. Dibacco accepting new patients?
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Does Dr. Richard D. Dibacco have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 213EP1101X | Primary Podiatric Medicine | SC001282L | PA |
| N | 111NR0200X | Radiology | SC001282L | PA |
| N | 213ER0200X | Radiology | SC001282L | PA |
| N | 213ES0103X | Foot & Ankle Surgery | SC001282L | PA |
| Y | 213ES0131X | Foot Surgery | SC001282L | PA |
National Provider Identifier
| NPI | 1609849934 |
|---|---|
| Provider Name | Dr. Richard D. Dibacco |
| First Address | Erie, PA 16509-1358 |
| Second Address | Erie, PA 16509-1358 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/02/2006 |
| Last Update Date | 30/06/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000501005-0001 | (05) | PA |
| U06735 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.