Petrucco, Louis Alfred

Petrucco, Louis Alfred is an sole proprietor health care provider with primary practice located at 9966 Hawthorne Glen Dr , Grosse Ile MI 48138-2100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Petrucco, Louis Alfred can be contacted via phone (734) 552-1561.

Contact Information

Primary practice address
9966 Hawthorne Glen Dr Grosse Ile MI 48138-2100
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 5315026105 Michigan

Profile Details

NPI number 1770704454
LBN Legal business name Petrucco, Louis Alfred
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Sep 7th, 2017 - about 9 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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