Puricelli, Michael David
Puricelli, Michael David is an sole proprietor health care provider with primary practice located at 5808 W 110Th St , Overland Park KS 66211-2504. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, Allopathic & Osteopathic Physicians / Otology & Neurotology. Allopathic & Osteopathic Physicians / Pediatric Otolaryngology is his primary health care specialty. Puricelli, Michael David can be contacted via phone (913) 696-8000.Contact Information
Primary practice address
5808 W 110Th St
Overland Park KS 66211-2504
Phone: (913) 696-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 73082-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 04-49773 | Kansas |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 2024039721 | Missouri |
| Allopathic & Osteopathic Physicians / Otology & Neurotology | 207YX0901X | 04-49773 | Kansas |
| Allopathic & Osteopathic Physicians / Pediatric Otolaryngology | 207YP0228X | 2024039721 | Missouri |
Profile Details
| NPI number | 1679834089 |
|---|---|
| LBN Legal business name | Puricelli, Michael David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2012 |
| Last updated | Oct 2nd, 2024 - about 2 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 | 1679834089 | NPPES |
| Missouri | Other | 2024039721 | MO BOARD OF HEALING ARTS |
| Missouri | Other | 04-49773 | MO BOARD OF HEALING ARTS |
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