Luce, Michael Wayne

Luce, Michael Wayne is an individual health care provider with primary practice located at 3201 W Highway 22 , Corsicana TX 75110-2450. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Luce, Michael Wayne can be contacted via phone (903) 654-6800.

Contact Information

Primary practice address
3201 W Highway 22 Corsicana TX 75110-2450
Phone: (903) 654-6800
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2815838 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 727861 Texas

Profile Details

NPI number 1649222837
LBN Legal business name Luce, Michael Wayne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Apr 15th, 2014 - about 11 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 1649222837 NPPES
Indiana Other 000000378049 SIA'S
Indiana MEDICAID 193593402 SIA'S
Indiana MEDICAID 200528760 SIA'S
Indiana Other 88083U SIA'S

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