Luchanko-Ganly, Carol Anne B
Luchanko-Ganly, Carol Anne B is an sole proprietor health care provider with primary practice located at 402 Bayard Rd Suite 200, Kennett Square PA 19348-1862. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Luchanko-Ganly, Carol Anne B can be contacted via phone (484) 770-8132.Contact Information
Primary practice address
402 Bayard Rd Suite 200
Kennett Square PA 19348-1862
Phone: (484) 770-8132
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | OEG000361 | Pennsylvania |
Profile Details
NPI number | 1942205976 |
---|---|
LBN Legal business name | Luchanko-Ganly, Carol Anne B |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 16th, 2005 |
Last updated | Mar 7th, 2023 - about last year |
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 | 1942205976 | NPPES |
Pennsylvania | Other | OEG000361 | STATE OPTOMETRY LICENSE |
Pennsylvania | Other | 481772 | STATE OPTOMETRY LICENSE |
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