Tuccillo, Mark W

Tuccillo, Mark W is an individual health care provider with primary practice located at 103 Fram Street , Petersburg AK 99833-0589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Tuccillo, Mark W can be contacted via phone (907) 772-4299.

Contact Information

Primary practice address
103 Fram Street Petersburg AK 99833-0589
Phone: (907) 772-4299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X AA2935 Alaska

Profile Details

NPI number 1942237441
LBN Legal business name Tuccillo, Mark W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 8th, 2007 - about 18 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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