Martucci, Michael
Martucci, Michael is an individual health care provider with primary practice located at 2121 E Harmony Rd Unit 290 , Fort Collins CO 80528-3402. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Martucci, Michael can be contacted via phone (970) 221-2370.Contact Information
Primary practice address
2121 E Harmony Rd Unit 290
Fort Collins CO 80528-3402
Phone: (970) 221-2370
Fax: (970) 221-9654
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 9767A | Wyoming |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | DR.0048242 | Colorado |
Profile Details
NPI number | 1942415369 |
---|---|
LBN Legal business name | Martucci, Michael |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2007 |
Last updated | Oct 18th, 2023 - 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 | 1942415369 | NPPES |
Nebraska | MEDICAID | 10027065300 | |
Nebraska | MEDICAID | 30928371 | |
Nebraska | MEDICAID | 135469800 | |
Nebraska | Other | 391620ZMHC | |
Nebraska | Other | W27146 |
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