Lucas, Mark T
Lucas, Mark T is an individual health care provider with primary practice located at 5525 Broadway , Merrillville IN 46410. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Lucas, Mark T can be contacted via phone (219) 884-2827.Contact Information
Primary practice address
5525 Broadway
Merrillville IN 46410
Phone: (219) 884-2827
Fax: (219) 884-2891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05007271A | Indiana |
Profile Details
| NPI number | 1164545497 |
|---|---|
| LBN Legal business name | Lucas, Mark T |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Oct 10th, 2014 - about 11 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 | 1164545497 | NPPES |
| Illinois | Other | 145210 | MEDICARE GROUP NUMBER |
| Illinois | Other | 1619980 | MEDICARE GROUP NUMBER |
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