Bucci, Mark J
Bucci, Mark J is an individual health care provider with primary practice located at 106 Medical Dr , Elizabeth City NC 27909-3361. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Bucci, Mark J can be contacted via phone (252) 338-3002.Contact Information
Primary practice address
106 Medical Dr
Elizabeth City NC 27909-3361
Phone: (252) 338-3002
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist | 222Z00000X | CO005782 | |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist | 224P00000X |
Profile Details
NPI number | 1871095893 |
---|---|
LBN Legal business name | Bucci, Mark J |
Credentials | C.P.O. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 6th, 2018 |
Last updated | Nov 8th, 2019 - about 5 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 | 1871095893 | NPPES |
North Carolina | Other | CPO04410 | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS, PROSTHETICS, & PEDORTHICS |
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