Puccioni, Mark J
Puccioni, Mark J is an individual health care provider with primary practice located at 8005 Farnam Dr Suite 305, Omaha NE 68114. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Puccioni, Mark J can be contacted via phone (402) 398-9243.Contact Information
Primary practice address
8005 Farnam Dr Suite 305
Omaha NE 68114
Phone: (402) 398-9243
Fax: (402) 398-9253
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | 21012 | Nebraska |
Profile Details
| NPI number | 1578514881 |
|---|---|
| LBN Legal business name | Puccioni, Mark J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Feb 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578514881 | NPPES |
| Iowa | MEDICAID | 1540658 | |
| Iowa | Other | 34166 | |
| Iowa | Other | 97943 | |
| Iowa | MEDICAID | 47061940513 |
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