Stuckey, Larry D.

Stuckey, Larry D. is an sole proprietor health care provider with primary practice located at 205 N East Ave , Jackson MI 49201-1753. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Stuckey, Larry D. can be contacted via phone (517) 205-7838.

Contact Information

Primary practice address
205 N East Ave Jackson MI 49201-1753
Phone: (517) 205-7838
Fax: (517) 205-5903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA.02581-NA Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704165719 Michigan

Profile Details

NPI number 1467425306
LBN Legal business name Stuckey, Larry D.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 10th, 2006
Last updated Jan 26th, 2026 - about 9 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1467425306 NPPES
Ohio MEDICAID 0758309
Ohio Other 4704165719

Popular Providers