Luchansky, Mitchell Alan
Luchansky, Mitchell Alan is an sole proprietor health care provider with primary practice located at 267 Old Moody Blvd , Palm Coast FL 32164-2470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Luchansky, Mitchell Alan can be contacted via phone (386) 313-5752.Contact Information
Primary practice address
267 Old Moody Blvd
Palm Coast FL 32164-2470
Phone: (386) 313-5752
Fax: (386) 313-5801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | ME77530 | Florida |
Profile Details
| NPI number | 1447322367 |
|---|---|
| LBN Legal business name | Luchansky, Mitchell Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Mar 7th, 2016 - about 8 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 | 1447322367 | NPPES |
| Florida | MEDICAID | 015704300 |
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