Luckett, Marc
Luckett, Marc is an sole proprietor health care provider with primary practice located at 12303 De Paul Dr , Bridgeton MO 63044-2512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Luckett, Marc can be contacted via phone (314) 344-6000.Contact Information
Primary practice address
12303 De Paul Dr
Bridgeton MO 63044-2512
Phone: (314) 344-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 04-34430 | Kansas |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 2002014395 | Missouri |
Profile Details
| NPI number | 1881667608 |
|---|---|
| LBN Legal business name | Luckett, Marc |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2006 |
| Last updated | Jun 29th, 2022 - about 2 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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