Sciuca, Dan S

Sciuca, Dan S is an individual health care provider with primary practice located at 1659 Trail Ridge Ave , Portage MI 49024. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Sciuca, Dan S can be contacted via phone (269) 998-5398.

Contact Information

Primary practice address
1659 Trail Ridge Ave Portage MI 49024
Phone: (269) 998-5398
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301078831 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301078831 Michigan

Profile Details

NPI number 1912989948
LBN Legal business name Sciuca, Dan S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Apr 28th, 2021 - about 5 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 1912989948 NPPES
Michigan MEDICAID 4347244 10
Michigan Other 700G560080
Michigan Other 382317300 140
Michigan Other 382317300 154
Michigan MEDICAID 4601303 10
Michigan Other 143068
Michigan Other 382317300 107
Michigan MEDICAID 4460009 10
Michigan MEDICAID 4848285
Michigan Other 1107500612
Michigan MEDICAID 4938130 10
Michigan Other 0G56008

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