Bertucci, Gregory Emile

Bertucci, Gregory Emile is an individual health care provider with primary practice located at 431 Bertucci Blvd , Biloxi MS 39531-2255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bertucci, Gregory Emile can be contacted via phone (228) 385-2020.

Contact Information

Primary practice address
431 Bertucci Blvd Biloxi MS 39531-2255
Fax: (228) 388-9435
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 08302 Mississippi

Profile Details

NPI number 1699744482
LBN Legal business name Bertucci, Gregory Emile
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 23rd, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699744482 NPPES
Mississippi MEDICAID 00016927

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