Stuckey, Mark
Stuckey, Mark is an sole proprietor health care provider with primary practice located at 6650 E Russell Rd # R , Las Vegas NV 89122-8359. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Stuckey, Mark can be contacted via phone (702) 408-2323.Contact Information
Primary practice address
6650 E Russell Rd # R
Las Vegas NV 89122-8359
Phone: (702) 408-2323
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X |
Profile Details
| NPI number | 1417378662 |
|---|---|
| LBN Legal business name | Stuckey, Mark |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2013 |
| Last updated | Dec 13th, 2013 - about 13 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 | 1417378662 | NPPES |
| Nevada | MEDICAID | 0 |
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