Scuccimarri, Peter

Scuccimarri, Peter is an sole proprietor health care provider with primary practice located at 1655 Holland Rd Ste F , Maumee OH 43537-1656. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Scuccimarri, Peter can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
1655 Holland Rd Ste F Maumee OH 43537-1656
Phone: (833) 510-4357
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301047163 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 4301047163 Michigan
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 35.146077 Ohio

Profile Details

NPI number 1568422111
LBN Legal business name Scuccimarri, Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2006
Last updated Jul 12th, 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 1568422111 NPPES
Michigan Other 0811926 BLUE CROSS/BLUE SHIELD

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