Micucci, Chad Joseph

Micucci, Chad Joseph is an individual health care provider with primary practice located at 200 Orthopedic Way , Morgantown WV 26505-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Micucci, Chad Joseph can be contacted via phone (304) 599-0720.

Contact Information

Primary practice address
200 Orthopedic Way Morgantown WV 26505-1240
Phone: (304) 599-0720
Fax: (304) 599-3962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 24024 West Virginia

Profile Details

NPI number 1386899664
LBN Legal business name Micucci, Chad Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2008
Last updated Aug 9th, 2012 - about 13 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 1386899664 NPPES
West Virginia MEDICAID 3810018320

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