Fucci, John Conville

Fucci, John Conville is an individual health care provider with primary practice located at 591 E 36Th St N , Tulsa OK 74106-1812. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Fucci, John Conville can be contacted via phone (918) 619-4400.

Contact Information

Primary practice address
591 E 36Th St N Tulsa OK 74106-1812
Phone: (918) 619-4400
Fax: (918) 619-8776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19139 Oklahoma
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 19139 Oklahoma

Profile Details

NPI number 1780654145
LBN Legal business name Fucci, John Conville
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated May 13th, 2013 - about 12 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 1780654145 NPPES
Oklahoma MEDICAID 100003710B

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