Mariscalco, Michael William

Mariscalco, Michael William is an individual health care provider with primary practice located at 4710 Puddledock Rd Suite 100, Prince George VA 23875-1237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mariscalco, Michael William can be contacted via phone (804) 732-0095.

Contact Information

Primary practice address
4710 Puddledock Rd Suite 100 Prince George VA 23875-1237
Fax: (804) 732-0055
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 57.012988 Ohio
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101254090 Virginia

Profile Details

NPI number 1912176140
LBN Legal business name Mariscalco, Michael William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2008
Last updated Sep 12th, 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.

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