Mucker, Michael Paul
Mucker, Michael Paul is an individual health care provider with primary practice located at 1513 Scalp Ave Suite 280, Johnstown PA 15904-3331. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mucker, Michael Paul can be contacted via phone (814) 266-7611.Contact Information
Primary practice address
1513 Scalp Ave Suite 280
Johnstown PA 15904-3331
Phone: (814) 266-7611
Fax: (814) 266-3532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG 001077 | Pennsylvania |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OEG 001077 | Pennsylvania |
Profile Details
| NPI number | 1912970112 |
|---|---|
| LBN Legal business name | Mucker, Michael Paul |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Nov 30th, 2007 - about 17 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 | 1912970112 | NPPES |
| Pennsylvania | MEDICAID | 0014035000001 |
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