Pernicone, Joseph R

Pernicone, Joseph R is an individual health care provider with primary practice located at 3220 Discovery Dr Ste 100 Room A204, Lansing MI 48910-8556. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pernicone, Joseph R can be contacted via phone (517) 975-8930.

Contact Information

Primary practice address
3220 Discovery Dr Ste 100 Room A204 Lansing MI 48910-8556
Phone: (517) 975-8930
Fax: (517) 337-4985
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101007728 Michigan

Profile Details

NPI number 1114975745
LBN Legal business name Pernicone, Joseph R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jul 6th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114975745 NPPES
Michigan MEDICAID 1114975745
Michigan MEDICAID 2900608

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