Puccia, Vincent
Puccia, Vincent is an sole proprietor health care provider with primary practice located at 1818 N 6Th St , Terre Haute IN 47804-4021. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Puccia, Vincent can be contacted via phone (812) 232-1123.Contact Information
Primary practice address
1818 N 6Th St
Terre Haute IN 47804-4021
Phone: (812) 232-1123
Fax: (812) 232-1409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 01042714 | Indiana |
Profile Details
| NPI number | 1619979671 |
|---|---|
| LBN Legal business name | Puccia, Vincent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Nov 17th, 2009 - about 17 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 | 1619979671 | NPPES |
| Indiana | Other | 020024123 | MEDICARE RAILROAD |
| Indiana | MEDICAID | 100373320A | MEDICARE RAILROAD |
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