Micucci, Marc L
Micucci, Marc L is an individual health care provider with primary practice located at 2589 Washington Rd Ste 410 , Upper St Clair PA 15241-2566. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Micucci, Marc L can be contacted via phone (412) 833-1101.Contact Information
Primary practice address
2589 Washington Rd Ste 410
Upper St Clair PA 15241-2566
Phone: (412) 833-1101
Fax: (412) 833-1075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 009131 | Pennsylvania |
Profile Details
| NPI number | 1881658516 |
|---|---|
| LBN Legal business name | Micucci, Marc L |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jan 23rd, 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 | 1881658516 | NPPES |
| Pennsylvania | MEDICAID | 1013693110001 |
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