Coccia, Craig T

Coccia, Craig T is an individual health care provider with primary practice located at 580 W College Ave , Marquette MI 49855-2705. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Coccia, Craig T can be contacted via phone (906) 225-4575.

Contact Information

Primary practice address
580 W College Ave Marquette MI 49855-2705
Phone: (906) 225-4575
Fax: (906) 225-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 4301407491 Michigan

Profile Details

NPI number 1194705947
LBN Legal business name Coccia, Craig T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Aug 8th, 2018 - about 7 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 1194705947 NPPES
Michigan MEDICAID 104957388
Michigan MEDICAID 104957360
Michigan Other 1405234032
Michigan Other 140E210830
Michigan MEDICAID 104957379
Michigan MEDICAID 4264713

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