Lusche, John Ekstrom
Lusche, John Ekstrom is an sole proprietor health care provider with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Lusche, John Ekstrom can be contacted via phone (626) 397-5000.Contact Information
Primary practice address
100 W California Blvd
Pasadena CA 91105-3010
Phone: (626) 397-5000
Fax: (626) 397-2912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | G7035 | California |
Profile Details
| NPI number | 1235144882 |
|---|---|
| LBN Legal business name | Lusche, John Ekstrom |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Jun 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235144882 | NPPES |
| California | Other | 00G70350 | BLUE SHIELD |
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