Pelucio, Marcus

Pelucio, Marcus is an individual health care provider with primary practice located at 3303 Latrobe Dr , Charlotte NC 28211-4851. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Pelucio, Marcus can be contacted via phone (704) 362-2663.

Contact Information

Primary practice address
3303 Latrobe Dr Charlotte NC 28211-4851
Phone: (704) 362-2663
Fax: (704) 362-2836
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD050827L Pennsylvania

Profile Details

NPI number 1073572087
LBN Legal business name Pelucio, Marcus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1073572087 NPPES
Pennsylvania MEDICAID 016114130006

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