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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578648135 NPPES
California Other DC0281210 CALIFORNIA PROVIDER I.D.

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