Provider Demographics
NPI:1851445282
Name:MASUCCI, MARGARET HELEN (DC)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:HELEN
Last Name:MASUCCI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 INDEPENDENCE STATION RD
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41051-8601
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8761 US 42
Practice Address - Street 2:SUITE C
Practice Address - City:UNION
Practice Address - State:KY
Practice Address - Zip Code:41091
Practice Address - Country:US
Practice Address - Phone:859-647-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4253111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0568501Medicare ID - Type UnspecifiedPROVIDERS PERSONAL NUMBER