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
Phone: (973) 322-7430
Fax: (973) 322-7460
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902800568 | NPPES |
| New Jersey | MEDICAID | 8040508 |
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