Ducker, Stephen E

Ducker, Stephen E is an sole proprietor health care provider with primary practice located at 1150 Cielo Ct , North Venice FL 34275-2222. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Ducker, Stephen E can be contacted via phone (813) 361-6758.

Contact Information

Primary practice address
1150 Cielo Ct North Venice FL 34275-2222
Phone: (813) 361-6758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X ARNP2679832 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X ME117152 Florida

Profile Details

NPI number 1861509176
LBN Legal business name Ducker, Stephen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2006
Last updated Jun 4th, 2020 - about 6 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 1861509176 NPPES
Florida MEDICAID 300373600
Florida Other 430068342
Florida Other G2134

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