Luccketta, Michael Donald

Luccketta, Michael Donald is an individual health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as his primary health care specialty. Luccketta, Michael Donald can be contacted via phone (209) 541-2121.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 541-2121
Fax: (209) 541-2083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X V191854 California

Profile Details

NPI number 1851611644
LBN Legal business name Luccketta, Michael Donald
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2010
Last updated Jun 3rd, 2010 - 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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