Lucas, Jay Luke

Lucas, Jay Luke is an sole proprietor health care provider with primary practice located at 1540 American Dr , Florence SC 29505-6072. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Lucas, Jay Luke can be contacted via phone (843) 317-9999.

Contact Information

Primary practice address
1540 American Dr Florence SC 29505-6072
Phone: (843) 317-9999
Fax: (843) 317-1996
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9934 South Carolina

Profile Details

NPI number 1467404301
LBN Legal business name Lucas, Jay Luke
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2006
Last updated Jan 22nd, 2020 - about 5 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 1467404301 NPPES
South Carolina Other 02-0654505 BLUE CROSS BLUE SHIELD
South Carolina MEDICAID GP3611 BLUE CROSS BLUE SHIELD
South Carolina Other 10-00541 BLUE CROSS BLUE SHIELD

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