Stucken, Charlton E

Stucken, Charlton E is an sole proprietor health care provider with primary practice located at 1401 Nw 9Th Ave , Boca Raton FL 33486-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Stucken, Charlton E can be contacted via phone (561) 395-5733.

Contact Information

Primary practice address
1401 Nw 9Th Ave Boca Raton FL 33486-1304
Phone: (561) 395-5733
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 233111 Massachusetts
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME115536 Florida

Profile Details

NPI number 1861667982
LBN Legal business name Stucken, Charlton E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2008
Last updated Dec 2nd, 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 1861667982 NPPES
Massachusetts MEDICAID 233111

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