Puccinelli, Joseph

Puccinelli, Joseph is an individual health care provider with primary practice located at 7545 N Port Washington Rd , Glendale WI 53217-3422. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Puccinelli, Joseph can be contacted via phone (414) 351-3500.

Contact Information

Primary practice address
7545 N Port Washington Rd Glendale WI 53217-3422
Fax: (414) 351-9063
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 33107 Wisconsin

Profile Details

NPI number 1134125842
LBN Legal business name Puccinelli, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 16th, 2022 - about 2 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 1134125842 NPPES
Wisconsin MEDICAID 31804900

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