Luczkow, Daniel

Luczkow, Daniel is an individual health care provider with primary practice located at 49 Bursley Path , West Barnstable MA 02668-1361. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Luczkow, Daniel can be contacted via phone (508) 292-4270.

Contact Information

Primary practice address
49 Bursley Path West Barnstable MA 02668-1361
Phone: (508) 292-4270
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 223191 Massachusetts

Profile Details

NPI number 1942250733
LBN Legal business name Luczkow, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 21st, 2009 - about 17 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 1942250733 NPPES
Massachusetts MEDICAID 2103834
Massachusetts Other J29442

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