Quattrocchi, Michael R

Quattrocchi, Michael R is an individual health care provider with primary practice located at 10765 Lantern Road Suite 102, Fishers IN 46038-3597. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Quattrocchi, Michael R can be contacted via phone (317) 621-4181.

Contact Information

Primary practice address
10765 Lantern Road Suite 102 Fishers IN 46038-3597
Phone: (317) 621-4181
Fax: (317) 621-4182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 20041865A Indiana

Profile Details

NPI number 1497979793
LBN Legal business name Quattrocchi, Michael R
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Dec 9th, 2011 - about 15 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 1497979793 NPPES
Indiana Other 1060501 CIGNA

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