Cacucci, Brenda M
Cacucci, Brenda M is an individual health care provider with primary practice located at 13430 North Meridian Street Suite 275, Carmel IN 46032-1405. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cacucci, Brenda M can be contacted via phone (317) 582-8403.Contact Information
Primary practice address
13430 North Meridian Street Suite 275
Carmel IN 46032-1405
Phone: (317) 582-8403
Fax: (317) 582-8448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 01046474A | Indiana |
Profile Details
| NPI number | 1134165541 |
|---|---|
| LBN Legal business name | Cacucci, Brenda M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1134165541 | NPPES |
| Indiana | MEDICAID | 200280950A |
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