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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942205976 NPPES
Pennsylvania Other OEG000361 STATE OPTOMETRY LICENSE
Pennsylvania Other 481772 STATE OPTOMETRY LICENSE

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