Lueck, Michelle A

Lueck, Michelle A is an individual health care provider with primary practice located at 201 4Th Ave , Enderlin ND 58027-1325. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Lueck, Michelle A can be contacted via phone (701) 437-3320.

Contact Information

Primary practice address
201 4Th Ave Enderlin ND 58027-1325
Phone: (701) 437-3320
Fax: (701) 437-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PAC0150 North Dakota

Profile Details

NPI number 1366469033
LBN Legal business name Lueck, Michelle A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 4th, 2022 - about 4 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 1366469033 NPPES
Minnesota MEDICAID 012890200
Minnesota MEDICAID 71086

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