Stucker, Frederick J
Stucker, Frederick J is an individual health care provider with primary practice located at 1501 Kings Hwy Department Of Otolaryngology, Shreveport LA 71103-4228. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Stucker, Frederick J can be contacted via phone (318) 813-2690.Contact Information
Primary practice address
1501 Kings Hwy Department Of Otolaryngology
Shreveport LA 71103-4228
Phone: (318) 813-2690
Fax: (318) 813-2692
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 05832R | Louisiana |
Profile Details
| NPI number | 1508890856 |
|---|---|
| LBN Legal business name | Stucker, Frederick J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 11th, 2006 |
| Last updated | Jul 31st, 2009 - about 16 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 | 1508890856 | NPPES |
| Louisiana | MEDICAID | 1320927 |
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