Lugthart, Jay Allen

Lugthart, Jay Allen is an individual health care provider with primary practice located at 670 Baldwin St , Jenison MI 49428-9757. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Lugthart, Jay Allen can be contacted via phone (616) 457-4610.

Contact Information

Primary practice address
670 Baldwin St Jenison MI 49428-9757
Phone: (616) 457-4610
Fax: (616) 457-8750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X JL039848 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X JL039848 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X JL039848 Michigan

Profile Details

NPI number 1215059241
LBN Legal business name Lugthart, Jay Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Apr 1st, 2008 - about 16 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 1215059241 NPPES
Other 114151PC CCPPO, CHMO, MERCY HEALTH
Other 121787 CCPPO, CHMO, MERCY HEALTH
Other 152756 CCPPO, CHMO, MERCY HEALTH
Other 4099325 CCPPO, CHMO, MERCY HEALTH
Other 0107011492 CCPPO, CHMO, MERCY HEALTH
Other B44069 CCPPO, CHMO, MERCY HEALTH

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