Luckenbill, Michael R

Luckenbill, Michael R is an individual health care provider with primary practice located at 300 N 7Th St , Bismarck ND 58501-4439. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Luckenbill, Michael R can be contacted via phone (701) 323-8121.

Contact Information

Primary practice address
300 N 7Th St Bismarck ND 58501-4439
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 46495 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49181 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11592 North Dakota
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 11592 North Dakota

Profile Details

NPI number 1922108653
LBN Legal business name Luckenbill, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jul 23rd, 2023 - about last year

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 1922108653 NPPES
Wisconsin MEDICAID 34542100

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