Mucciolo, Michael J

Mucciolo, Michael J is an individual health care provider with primary practice located at 191 S Keyser Ave , Old Forge PA 18518-1148. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mucciolo, Michael J can be contacted via phone (570) 457-4069.

Contact Information

Primary practice address
191 S Keyser Ave Old Forge PA 18518-1148
Phone: (570) 457-4069
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RP036740L Pennsylvania

Profile Details

NPI number 1306135926
LBN Legal business name Mucciolo, Michael J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2011
Last updated Apr 5th, 2011 - about 14 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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