Martucci, Dennis J
Martucci, Dennis J is an individual health care provider with primary practice located at 705 Breedlove Dr Ste 200 , Monroe GA 30655-2080. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martucci, Dennis J can be contacted via phone (770) 554-5009.Contact Information
Primary practice address
705 Breedlove Dr Ste 200
Monroe GA 30655-2080
Phone: (770) 554-5009
Fax: (706) 546-8792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT004176 | Georgia |
Profile Details
NPI number | 1235170861 |
---|---|
LBN Legal business name | Martucci, Dennis J |
Credentials | Physical Therapist (PT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 8th, 2006 |
Last updated | Mar 11th, 2024 - about last year |
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 | 1235170861 | NPPES |
Other | 10616692 | CAQH NUMBER |
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