Palatucci, Michael M

Palatucci, Michael M is an individual health care provider with primary practice located at 1637 Mineral Spring Ave Suite 215, North Providence RI 02904-4055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Palatucci, Michael M can be contacted via phone (401) 353-7330.

Contact Information

Primary practice address
1637 Mineral Spring Ave Suite 215 North Providence RI 02904-4055
Phone: (401) 353-7330
Fax: (401) 354-4760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X PA00260 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00260 Rhode Island

Profile Details

NPI number 1396806352
LBN Legal business name Palatucci, Michael M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Jun 25th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396806352 NPPES
Rhode Island Other 238474 BCBS
Rhode Island MEDICAID 9023720 BCBS
Rhode Island Other 408945 BCBS

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