Lundeen, James Edgar

Lundeen, James Edgar is an sole proprietor health care provider with primary practice located at 26 Sandusky St , Plymouth OH 44865-1113. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Legal Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Lundeen, James Edgar can be contacted via phone (419) 687-4322.

Contact Information

Primary practice address
26 Sandusky St Plymouth OH 44865-1113
Phone: (419) 687-4322
Fax: (419) 687-4323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 35052257 Ohio
Allopathic & Osteopathic Physicians / General Practice 208D00000X 35052257 Ohio
Allopathic & Osteopathic Physicians / Legal Medicine 209800000X 35052257 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 35052257 Ohio
Allopathic & Osteopathic Physicians / Pain Medicine 2084P2900X 35052257 Ohio

Profile Details

NPI number 1962654731
LBN Legal business name Lundeen, James Edgar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 10th, 2008
Last updated Feb 25th, 2011 - about 14 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 1962654731 NPPES
Ohio MEDICAID 0604322
Ohio Other 0808943

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