Mcgillicuddy, Denis Michael
Mcgillicuddy, Denis Michael is an individual health care provider with primary practice located at 810 W H Smith Blvd , Greenville NC 27834-3763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Mcgillicuddy, Denis Michael can be contacted via phone (252) 757-2663.Contact Information
Primary practice address
810 W H Smith Blvd
Greenville NC 27834-3763
Phone: (252) 757-2663
Fax: (252) 317-0829
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 24174 | North Carolina |
Profile Details
| NPI number | 1053306340 |
|---|---|
| LBN Legal business name | Mcgillicuddy, Denis Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Mar 13th, 2008 - about 16 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 | 1053306340 | NPPES |
| Other | 1274070001 | DME MAC JURISDICTION C | |
| MEDICAID | 8956637 | DME MAC JURISDICTION C |
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