Dr. John Lackey, Inc.

LBN: John Lackey, Inc
Dr. John Lackey, Inc. is an health care organization with primary practice located at 702 Professional Park Dr Suite102, Summersville WV 26651-2018. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. John Lackey, Inc can be contacted via phone (304) 872-6433, or through Lackey, John via phone (304) 872-6433.

Contact Information

Primary practice address
702 Professional Park Dr Suite102 Summersville WV 26651-2018
Phone: (304) 872-6433
Fax: (304) 872-6562
Website:
Map and Directions
Authorized official contact:
Name: Lackey, John Doctor of Osteopathy (DO)
Phone: (304) 872-6433

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 736 West Virginia

Profile Details

NPI number 1609904663
LBN Legal business name John Lackey, Inc
DBA Doing business as Dr. John Lackey, Inc.
Authorized official Lackey, John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Nov 3rd, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609904663 NPPES
West Virginia Other 1205951605 MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)
West Virginia Other 1609904663 MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)
West Virginia Other 00094926001 MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)
West Virginia Other 0257640001 MEDICARE GROUP PAYER NPI (MEDICAL PRACTICE)

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