Dimucci, Michael V
Dimucci, Michael V is an individual health care provider with primary practice located at 423 Fortress Blvd , Morgantown WV 26508-1351. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Dimucci, Michael V can be contacted via phone (612) 805-8676.Contact Information
Primary practice address
423 Fortress Blvd
Morgantown WV 26508-1351
Phone: (612) 805-8676
Fax: (249) 201-5231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R 112189-4 | Minnesota |
Profile Details
| NPI number | 1083694806 |
|---|---|
| LBN Legal business name | Dimucci, Michael V |
| Credentials | RN, MSN, FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2006 |
| Last updated | Dec 27th, 2023 - about last year |
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 | 1083694806 | NPPES |
| Minnesota | MEDICAID | 497460300 | |
| Minnesota | Other | F0402042 | |
| Minnesota | Other | P0825227 | |
| Minnesota | Other | R1121894 |
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