Puccia, Vincent

Puccia, Vincent is an sole proprietor health care provider with primary practice located at 1818 N 6Th St , Terre Haute IN 47804-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Puccia, Vincent can be contacted via phone (812) 232-1123.

Contact Information

Primary practice address
1818 N 6Th St Terre Haute IN 47804-4021
Phone: (812) 232-1123
Fax: (812) 232-1409
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01042714 Indiana

Profile Details

NPI number 1619979671
LBN Legal business name Puccia, Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2005
Last updated Nov 17th, 2009 - about 16 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 1619979671 NPPES
Indiana Other 020024123 MEDICARE RAILROAD
Indiana MEDICAID 100373320A MEDICARE RAILROAD

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