Luckini, Mary
Luckini, Mary is an sole proprietor health care provider with primary practice located at 110 Mordington Ave , Charles Town WV 25414-1693. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Luckini, Mary can be contacted via phone (304) 267-3595.Contact Information
Primary practice address
110 Mordington Ave
Charles Town WV 25414-1693
Phone: (304) 267-3595
Fax: (304) 267-3599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 1737 | West Virginia |
Profile Details
| NPI number | 1851804546 |
|---|---|
| LBN Legal business name | Luckini, Mary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2017 |
| Last updated | Jun 16th, 2018 - about 6 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 | 1851804546 | NPPES |
| West Virginia | Other | 1737 | WV BOARD OF EXAMINERS CARD |
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