Lucas, Mark Anthony
Lucas, Mark Anthony is an sole proprietor health care provider with primary practice located at 1261 Lincoln Ave 112, San Jose CA 95125-3006. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Lucas, Mark Anthony can be contacted via phone (408) 294-4074.Contact Information
Primary practice address
1261 Lincoln Ave 112
San Jose CA 95125-3006
Phone: (408) 294-4074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | DC28121 | California |
Profile Details
| NPI number | 1578648135 |
|---|---|
| LBN Legal business name | Lucas, Mark Anthony |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578648135 | NPPES |
| California | Other | DC0281210 | CALIFORNIA PROVIDER I.D. |
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