Lurton, Jack Walter

Lurton, Jack Walter is an individual health care provider with primary practice located at 14 W Jordan St , Pensacola FL 32501-1736. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Lurton, Jack Walter can be contacted via phone (850) 436-4630.

Contact Information

Primary practice address
14 W Jordan St Pensacola FL 32501-1736
Phone: (850) 436-4630
Fax: (850) 436-2095
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME11915 Florida

Profile Details

NPI number 1497713747
LBN Legal business name Lurton, Jack Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Sep 14th, 2015 - about 9 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 1497713747 NPPES
Florida MEDICAID 036679000

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