Bertuccini, Thomas V

Bertuccini, Thomas V is an individual health care provider with primary practice located at 601 W Saint Mary Blvd Suite 306, Lafayette LA 70506-3568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bertuccini, Thomas V can be contacted via phone (337) 235-0933.

Contact Information

Primary practice address
601 W Saint Mary Blvd Suite 306 Lafayette LA 70506-3568
Phone: (337) 235-0933
Fax: (337) 269-1328
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 04479R Louisiana

Profile Details

NPI number 1316986177
LBN Legal business name Bertuccini, Thomas V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Dec 14th, 2009 - about 15 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 1316986177 NPPES
Louisiana MEDICAID 1194808

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