Pucillo, Evan Michael
Pucillo, Evan Michael is an sole proprietor health care provider with primary practice located at 50 N Medical Dr 1R 5 Som, Salt Lake City UT 84132-0001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology, which is considered as his primary health care specialty. Pucillo, Evan Michael can be contacted via phone (801) 585-5323.Contact Information
Primary practice address
50 N Medical Dr 1R 5 Som
Salt Lake City UT 84132-0001
Phone: (801) 585-5323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology | 2251N0400X | 9083705-2401 | Utah |
Profile Details
| NPI number | 1578961041 |
|---|---|
| LBN Legal business name | Pucillo, Evan Michael |
| Credentials | PT, DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2014 |
| Last updated | Sep 22nd, 2015 - about 11 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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