Bertucci, Nathan John

Bertucci, Nathan John is an sole proprietor health care provider with primary practice located at 1578 Appleton Rd , Menasha WI 54952-1104. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Community/Retail Pharmacy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Bertucci, Nathan John can be contacted via phone (920) 722-1895.

Contact Information

Primary practice address
1578 Appleton Rd Menasha WI 54952-1104
Phone: (920) 722-1895
Fax: (920) 722-3195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 5302038799 Michigan
Suppliers / Community/Retail Pharmacy 3336C0003X Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X 16571-40 Wisconsin

Profile Details

NPI number 1881948180
LBN Legal business name Bertucci, Nathan John
Credentials PHARMD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2012
Last updated Feb 27th, 2020 - about 6 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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