Lockhart, Jimmy Wayne

Lockhart, Jimmy Wayne is an individual health care provider with primary practice located at 1600 37Th Street , Vero Beach FL 32960. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Lockhart, Jimmy Wayne can be contacted via phone (772) 778-2106.

Contact Information

Primary practice address
1600 37Th Street Vero Beach FL 32960
Phone: (772) 778-2106
Fax: (772) 562-5739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME90530 Florida

Profile Details

NPI number 1881797249
LBN Legal business name Lockhart, Jimmy Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2006
Last updated Sep 19th, 2017 - about 8 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 1881797249 NPPES
Florida MEDICAID 270890600

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