Luck, Bernard Peter
Luck, Bernard Peter is an sole proprietor health care provider with primary practice located at 40 Matthews St Ste 111 , Goshen NY 10924-1986. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Luck, Bernard Peter can be contacted via phone (845) 551-1208.Contact Information
Primary practice address
40 Matthews St Ste 111
Goshen NY 10924-1986
Phone: (845) 551-1208
Fax: (845) 782-5255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 061375159 | New York |
Profile Details
| NPI number | 1467423129 |
|---|---|
| LBN Legal business name | Luck, Bernard Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 31st, 2006 |
| Last updated | Jun 23rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467423129 | NPPES |
| New York | Other | 061375159 | TAX IDENTIFICATION NUMBER |
| New York | MEDICAID | 00521095 | TAX IDENTIFICATION NUMBER |
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