Puricelli, Mark S

Puricelli, Mark S is an individual health care provider with primary practice located at 1111 6Th Ave East Tower Suite A100, Des Moines IA 50314-2610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Puricelli, Mark S can be contacted via phone (515) 358-0011.

Contact Information

Primary practice address
1111 6Th Ave East Tower Suite A100 Des Moines IA 50314-2610
Phone: (515) 358-0011
Fax: (515) 358-0099
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 03224 Iowa

Profile Details

NPI number 1760596514
LBN Legal business name Puricelli, Mark S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Mar 17th, 2010 - about 14 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 1760596514 NPPES
Iowa MEDICAID 2187229

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