Palatucci, Michael M
Palatucci, Michael M is an individual health care provider with primary practice located at 1637 Mineral Spring Ave Suite 215, North Providence RI 02904-4055. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Palatucci, Michael M can be contacted via phone (401) 353-7330.Contact Information
Primary practice address
1637 Mineral Spring Ave Suite 215
North Providence RI 02904-4055
Phone: (401) 353-7330
Fax: (401) 354-4760
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | PA00260 | Rhode Island |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00260 | Rhode Island |
Profile Details
| NPI number | 1396806352 |
|---|---|
| LBN Legal business name | Palatucci, Michael M |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jun 25th, 2008 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396806352 | NPPES |
| Rhode Island | Other | 238474 | BCBS |
| Rhode Island | MEDICAID | 9023720 | BCBS |
| Rhode Island | Other | 408945 | BCBS |
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