Provider Demographics
NPI:1346681335
Name:SICILIANO, JOSEPH FRANSCIS (LMT,)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:FRANSCIS
Last Name:SICILIANO
Suffix:
Gender:M
Credentials:LMT,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 WADSWORTH BYPASS
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003
Mailing Address - Country:US
Mailing Address - Phone:303-902-1142
Mailing Address - Fax:
Practice Address - Street 1:5855 WADSWORTH BYP
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-5459
Practice Address - Country:US
Practice Address - Phone:303-902-1142
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-08
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO14887174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist