Luckey, Marjorie M.

Luckey, Marjorie M. is an individual health care provider with primary practice located at 200 S Orange Ave , Livingston NJ 07039-5817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Luckey, Marjorie M. can be contacted via phone (973) 322-7430.

Contact Information

Primary practice address
200 S Orange Ave Livingston NJ 07039-5817
Fax: (973) 322-7460
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 25MA06661600 New Jersey

Profile Details

NPI number 1902800568
LBN Legal business name Luckey, Marjorie M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Jul 11th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902800568 NPPES
New Jersey MEDICAID 8040508

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