Bertucci, Michael
Bertucci, Michael is an sole proprietor health care provider with primary practice located at 1401 Foucher St Fl 2 , New Orleans LA 70115-3515. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Bertucci, Michael can be contacted via phone (504) 210-4472.Contact Information
Primary practice address
1401 Foucher St Fl 2
New Orleans LA 70115-3515
Phone: (504) 210-4472
Fax: (504) 210-4473
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MMD.39911LL | South Carolina |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 320671 | Louisiana |
Profile Details
| NPI number | 1023469681 |
|---|---|
| LBN Legal business name | Bertucci, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2016 |
| Last updated | Jul 2nd, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023469681 | NPPES |
| Louisiana | MEDICAID | 2533223 |
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