Bertucci, Michael John
Bertucci, Michael John is an individual health care provider with primary practice located at 101 Page St , New Bedford MA 02740-3464. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bertucci, Michael John can be contacted via phone (508) 973-5918.Contact Information
Primary practice address
101 Page St
New Bedford MA 02740-3464
Phone: (508) 973-5918
Fax: (508) 973-5916
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 197511 | Massachusetts |
Profile Details
NPI number | 1427056589 |
---|---|
LBN Legal business name | Bertucci, Michael John |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 12th, 2005 |
Last updated | Apr 22nd, 2020 - 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 | 1427056589 | NPPES |
Massachusetts | MEDICAID | 110097611A |
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