Pucci, Anthony R

Pucci, Anthony R is an individual health care provider with primary practice located at 416 Connable Ave , Petoskey MI 49770-2212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Pucci, Anthony R can be contacted via phone (231) 487-4000.

Contact Information

Primary practice address
416 Connable Ave Petoskey MI 49770-2212
Phone: (231) 487-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 5101010113 Michigan

Profile Details

NPI number 1922007582
LBN Legal business name Pucci, Anthony R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jul 8th, 2007 - about 18 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 1922007582 NPPES
Michigan Other P00227931 RAILROAD MEDICARE
Michigan Other 3152410324 RAILROAD MEDICARE
Michigan Other AP010113 RAILROAD MEDICARE

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