Luckie, Deborah K

Luckie, Deborah K is an individual health care provider with primary practice located at 3269 Stockton Hill Rd Hospitalist Dept., Kingman AZ 86409-3619. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Luckie, Deborah K can be contacted via phone (928) 681-8577.

Contact Information

Primary practice address
3269 Stockton Hill Rd Hospitalist Dept. Kingman AZ 86409-3619
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5019 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5019 Arizona

Profile Details

NPI number 1114109279
LBN Legal business name Luckie, Deborah K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2007
Last updated Oct 11th, 2013 - about 11 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 1114109279 NPPES
Arizona MEDICAID 437370

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