Luck, John Dylan
Luck, John Dylan is an individual health care provider with primary practice located at 5401 Old Court Rd Dept Of , Randallstown MD 21133-5103. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Luck, John Dylan can be contacted via phone (410) 521-2200.Contact Information
Primary practice address
5401 Old Court Rd Dept Of
Randallstown MD 21133-5103
Phone: (410) 521-2200
Fax: (410) 496-7530
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Surgery | 208600000X | D90135 | Maryland |
Profile Details
NPI number | 1619332475 |
---|---|
LBN Legal business name | Luck, John Dylan |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 22nd, 2015 |
Last updated | Oct 29th, 2020 - about 5 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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