Bantugan, Lucille

Bantugan, Lucille is an individual health care provider with primary practice located at 154 N Artizan St , Williamsport MD 21795-1104. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bantugan, Lucille can be contacted via phone (301) 223-7971.

Contact Information

Primary practice address
154 N Artizan St Williamsport MD 21795-1104
Phone: (301) 223-7971
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 24330 Maryland

Profile Details

NPI number 1811326069
LBN Legal business name Bantugan, Lucille
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2013
Last updated Mar 13th, 2019 - about 6 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 1811326069 NPPES
Maryland Other 1447657507 NPI TYPE 2 (ORGANIZATION NPI)
Maryland MEDICAID 4374045-00 NPI TYPE 2 (ORGANIZATION NPI)
Maryland Other 46-3684374 NPI TYPE 2 (ORGANIZATION NPI)

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