Marcuzzi, Mary L
Marcuzzi, Mary L is an individual health care provider with primary practice located at 1723 Washington Blvd , Huntington WV 25701-5317. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Marcuzzi, Mary L can be contacted via phone (304) 523-5021.Contact Information
Primary practice address
1723 Washington Blvd
Huntington WV 25701-5317
Phone: (304) 523-5021
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 19564 | West Virginia |
Profile Details
| NPI number | 1104804814 |
|---|---|
| LBN Legal business name | Marcuzzi, Mary L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2006 |
| Last updated | Apr 14th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104804814 | NPPES |
| West Virginia | MEDICAID | 1803384000 | |
| West Virginia | MEDICAID | 2564407 | |
| West Virginia | Other | P00263543 | |
| West Virginia | MEDICAID | 64102239 |
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