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:
Health care specialties
| Specialty | Code | License # | 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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