Duckett, Luat Dang

Duckett, Luat Dang is an sole proprietor health care provider with primary practice located at 7239 Hanover Pkwy Ste B, Greenbelt MD 20770-3603. He recently has only one registered license in Other Service Providers / Legal Medicine, which is considered as his primary health care specialty. Duckett, Luat Dang can be contacted via phone (301) 513-9030.

Contact Information

Primary practice address
7239 Hanover Pkwy Ste B Greenbelt MD 20770-3603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Legal Medicine 173000000X D0038251 Maryland

Profile Details

NPI number 1669474706
LBN Legal business name Duckett, Luat Dang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Mar 3rd, 2010 - about 14 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 1669474706 NPPES
Maryland MEDICAID 538611000

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