Individual
ALLEN J STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 OAKLAND AVE, ELKHART, IN 46517-1533
(574) 533-1234
(574) 537-2652
Mailing address
330 LAKEVIEW DR, GOSHEN, IN 46528-9365
(574) 533-1234
(574) 537-2652
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
01047034A
IN
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
01047034A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000202073
ANTHEM
IN
05
—
200181130
—
IN
01
—
P00024426
RAILROAD MEDICARE PIN
IN
Enumeration date
06/16/2006
Last updated
08/24/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us