Duckett, Olly C

Duckett, Olly C is an individual health care provider with primary practice located at 3000 New Bern Ave , Raleigh NC 27610-1231. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Duckett, Olly C can be contacted via phone (843) 237-3378.

Contact Information

Primary practice address
3000 New Bern Ave Raleigh NC 27610-1231
Phone: (843) 237-3378
Fax: (843) 237-5073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 200000778 North Carolina

Profile Details

NPI number 1922061654
LBN Legal business name Duckett, Olly C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Mar 17th, 2009 - about 15 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 1922061654 NPPES
North Carolina Other 050076113 RAILROAD
North Carolina MEDICAID Q0077E RAILROAD
North Carolina MEDICAID 89127HX RAILROAD
North Carolina Other 127HX RAILROAD

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