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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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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