Mcluckie, Alan E

Mcluckie, Alan E is an individual health care provider with primary practice located at 2762 Electric Rd Ste A , Roanoke VA 24018-3582. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Mcluckie, Alan E can be contacted via phone (540) 283-2710.

Contact Information

Primary practice address
2762 Electric Rd Ste A Roanoke VA 24018-3582
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101232789 Virginia
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 0101232789 Virginia
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 0101232789 Virginia

Profile Details

NPI number 1962402024
LBN Legal business name Mcluckie, Alan E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 24th, 2022 - about 2 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 1962402024 NPPES
Virginia MEDICAID 5880912
Virginia MEDICAID 5880513
Virginia MEDICAID 010248434

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