DR. MARC L MICUCCI D.C NPI 1881658516

NPI Information

  • NPI: 1881658516
  • Provider Name: DR. MARC L MICUCCI, D.C
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Individual
  • Address: 2589 WASHINGTON RD STE 410
    UPPER ST CLAIR, PA
    ZIP 15241
  • Phone: (412) 833-1101

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NPI Details

DR. Marc L Micucci, D.C is a chiropractor in Upper St Clair, PA with 22 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Marc L Micucci, D.C NPI is 1881658516. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LIFE CHIROPRACTIC COLLEGE - WEST
Graduation Year:2003

The provider's business location address is:

2589 WASHINGTON RD STE 410
UPPER ST CLAIR, PA
ZIP 15241-566
Phone: (412) 833-1101
Fax: (412) 833-1075

The enumeration date for this NPI number is 4/12/2006 and was last updated on 1/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor009131PENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013693110001MEDICAIDPENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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