Luedke, Dan William
Luedke, Dan William is an individual health care provider with primary practice located at 1475 Kisker Rd Suite 180, St Charles MO 63304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Luedke, Dan William can be contacted via phone (636) 442-7300.Contact Information
Primary practice address
1475 Kisker Rd Suite 180
St Charles MO 63304
Phone: (636) 442-7300
Fax: (636) 442-7398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | D8330 | Texas |
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | R8512 | Missouri |
Profile Details
| NPI number | 1669435244 |
|---|---|
| LBN Legal business name | Luedke, Dan William |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Sep 10th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669435244 | NPPES |
| Other | 117860 | HEALTHLINK | |
| Other | 21630 | HEALTHLINK | |
| Other | 830001889 | HEALTHLINK | |
| MEDICAID | 202356127 | HEALTHLINK | |
| Other | 4037806 | HEALTHLINK | |
| Other | 3600031 | HEALTHLINK | |
| Other | 43616 | HEALTHLINK |
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