Stuckey, Allen J

Stuckey, Allen J is an individual health care provider with primary practice located at 2600 Oakland Ave , Elkhart IN 46517-1533. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Stuckey, Allen J can be contacted via phone (574) 533-1234.

Contact Information

Primary practice address
2600 Oakland Ave Elkhart IN 46517-1533
Phone: (574) 533-1234
Fax: (574) 537-2652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 01047034A Indiana
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 01047034A Indiana

Profile Details

NPI number 1982648960
LBN Legal business name Stuckey, Allen J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Aug 24th, 2011 - about 14 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 1982648960 NPPES
Indiana MEDICAID 200181130
Indiana Other 000000202073
Indiana Other P00024426

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