Juckett, Mark B
Juckett, Mark B is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is his primary health care specialty. Juckett, Mark B can be contacted via phone (612) 672-6000.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax: (612) 273-4098
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35344 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 35344 | Wisconsin |
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | 35344 | Wisconsin |
| Allopathic & Osteopathic Physicians / Hematology | 207RH0000X | 35344 | Wisconsin |
Profile Details
| NPI number | 1750357604 |
|---|---|
| LBN Legal business name | Juckett, Mark B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2006 |
| Last updated | Feb 16th, 2021 - about 3 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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