Micchia, Gina Louise

Micchia, Gina Louise is an individual health care provider with primary practice located at 10500 Ligon Mill Rd Suite 113, Wake Forest NC 27587-6090. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Micchia, Gina Louise can be contacted via phone (919) 570-5705.

Contact Information

Primary practice address
10500 Ligon Mill Rd Suite 113 Wake Forest NC 27587-6090
Phone: (919) 570-5705
Fax: (919) 570-5710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X OS008792L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2005-01657 North Carolina

Profile Details

NPI number 1548234347
LBN Legal business name Micchia, Gina Louise
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2006
Last updated Apr 18th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1548234347 NPPES
North Carolina Other 142W6 BCBS
North Carolina MEDICAID 5905076 BCBS
North Carolina MEDICAID 011630820 BCBS

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