Samuel J Mucci M.D.P.C.

LBN: Samuel J Mucci M.D.P.C.
Samuel J Mucci M.D.P.C. is an health care organization with primary practice located at 15590 W 13 Mile Rd Suite A, Beverly Hills MI 48025-5642. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Samuel J Mucci M.D.P.C. can be contacted via phone (248) 283-1115, or through Barc, Michele A via phone (248) 283-1115.

Contact Information

Primary practice address
15590 W 13 Mile Rd Suite A Beverly Hills MI 48025-5642
Phone: (248) 283-1115
Fax: (248) 283-1119
Website:
Map and Directions
Authorized official contact:
Name: Barc, Michele A
Phone: (248) 283-1115

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301067463 Michigan

Profile Details

NPI number 1629240965
LBN Legal business name Samuel J Mucci M.D.P.C.
DBA Doing business as
Authorized official Barc, Michele A
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2008
Last updated Nov 6th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629240965 NPPES
Michigan Other 2406314511 BCBSM
Michigan MEDICAID 103269170 BCBSM

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