Lukus, Michael Joseph
Lukus, Michael Joseph is an individual health care provider with primary practice located at 790 Northern Blvd Suite K, South Abington Township PA 18411-8799. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Lukus, Michael Joseph can be contacted via phone (570) 586-4141.Contact Information
Primary practice address
790 Northern Blvd Suite K
South Abington Township PA 18411-8799
Phone: (570) 586-4141
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | MA054092 | Pennsylvania |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | OA002401 | Pennsylvania |
Profile Details
NPI number | 1790018224 |
---|---|
LBN Legal business name | Lukus, Michael Joseph |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2009 |
Last updated | Feb 1st, 2012 - about 12 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 | 1790018224 | NPPES |
Other | P00975601 | RR MEDICARE |
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