Lucas, Roger Wayne

Lucas, Roger Wayne is an sole proprietor health care provider with primary practice located at 199 S Central Ave , Columbus OH 43223-1301. He recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as his primary health care specialty. Lucas, Roger Wayne can be contacted via phone (614) 276-2273.

Contact Information

Primary practice address
199 S Central Ave Columbus OH 43223-1301
Phone: (614) 276-2273
Fax: (614) 351-9590
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X Ohio

Profile Details

NPI number 1639676513
LBN Legal business name Lucas, Roger Wayne
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 9th, 2018
Last updated Apr 9th, 2018 - about 6 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 1639676513 NPPES
Ohio MEDICAID 2863950
Ohio MEDICAID 0200124

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