Delucia, Mary Catherine

Delucia, Mary Catherine is an individual health care provider with primary practice located at 15675 Northline Rd , Southgate MI 48195-2334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Delucia, Mary Catherine can be contacted via phone (734) 282-3600.

Contact Information

Primary practice address
15675 Northline Rd Southgate MI 48195-2334
Phone: (734) 282-3600
Fax: (734) 282-3603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 4704127749 Michigan

Profile Details

NPI number 1245218528
LBN Legal business name Delucia, Mary Catherine
Credentials WHCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 21st, 2017 - about 8 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 1245218528 NPPES
Michigan Other 0H28865 BLUE CROSS
Michigan Other 1144634403 BLUE CROSS

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