Marcuzzo, John Anthony
Marcuzzo, John Anthony is an sole proprietor health care provider with primary practice located at 1304 Harlan Dr , Bellevue NE 68005-3648. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Marcuzzo, John Anthony can be contacted via phone (402) 291-4411.Contact Information
Primary practice address
1304 Harlan Dr
Bellevue NE 68005-3648
Phone: (402) 291-4411
Fax: (402) 291-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4987 | Nebraska |
Profile Details
| NPI number | 1629147608 |
|---|---|
| LBN Legal business name | Marcuzzo, John Anthony |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1629147608 | NPPES |
| Nebraska | MEDICAID | 47-0-638-721-00 |
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