Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | PD066R | LA |
N | 222Z00000X | Podiatrist | PD066R | LA |
N | 213ES0103X | Foot & Ankle Surgery | PD066R | LA |
N | 213ES0131X | Foot Surgery | PD066R | LA |
NPI | 1174592968 |
---|---|
Provider Name | Dr. Steven Joseph Zichichi |
First Address | Metairie, LA 70006-2930 |
Second Address | Metairie, LA 70006-2930 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T20083 | (02) | LA |