Kulic, Marcy A.
Kulic, Marcy A. is an sole proprietor health care provider with primary practice located at 600 Whitney Ranch Dr Ste A1 , Henderson NV 89014-2631. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Kulic, Marcy A. can be contacted via phone (702) 566-0333.Contact Information
Primary practice address
600 Whitney Ranch Dr Ste A1
Henderson NV 89014-2631
Phone: (702) 566-0333
Fax: (702) 566-0315
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | NV7987 | Nevada |
Profile Details
NPI number | 1114003498 |
---|---|
LBN Legal business name | Kulic, Marcy A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 28th, 2006 |
Last updated | Sep 4th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114003498 | NPPES |
Nevada | MEDICAID | 002019884 |
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