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
Phone: (928) 681-8577
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114109279 | NPPES |
Arizona | MEDICAID | 437370 |
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