Vellucci, Mary Kay

Vellucci, Mary Kay is an individual health care provider with primary practice located at 419 6Th St , Juneau AK 99801-1020. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Vellucci, Mary Kay can be contacted via phone (907) 463-6149.

Contact Information

Primary practice address
419 6Th St Juneau AK 99801-1020
Phone: (907) 463-6149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1790803567
LBN Legal business name Vellucci, Mary Kay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jul 9th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790803567 NPPES
Alaska MEDICAID CM33501

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