Luczkow, Daniel
Luczkow, Daniel is an individual health care provider with primary practice located at 49 Bursley Path , West Barnstable MA 02668-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Luczkow, Daniel can be contacted via phone (508) 292-4270.Contact Information
Primary practice address
49 Bursley Path
West Barnstable MA 02668-1361
Phone: (508) 292-4270
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 223191 | Massachusetts |
Profile Details
NPI number | 1942250733 |
---|---|
LBN Legal business name | Luczkow, Daniel |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 11th, 2006 |
Last updated | Jan 21st, 2009 - about 15 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 | 1942250733 | NPPES |
Massachusetts | MEDICAID | 2103834 | |
Massachusetts | Other | J29442 |
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