Maccioli, Mike
Maccioli, Mike is an sole proprietor health care provider with primary practice located at 805 Coralberry Dr , Mckinney TX 75072-6760. He recently has only one registered license in Other Service Providers / Meals, which is considered as his primary health care specialty. Maccioli, Mike can be contacted via phone (214) 929-8174.Contact Information
Primary practice address
805 Coralberry Dr
Mckinney TX 75072-6760
Phone: (214) 929-8174
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Meals | 174200000X |
Profile Details
| NPI number | 1134723257 |
|---|---|
| LBN Legal business name | Maccioli, Mike |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2020 |
| Last updated | Nov 30th, 2020 - about 4 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 | 1134723257 | NPPES |
| Other | 09051957 | MEDICARE ADVANTAGE |
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