Lusk, Mike
Lusk, Mike is an individual health care provider with primary practice located at 111 Hays Complex Hwy 23, Betsy Layne KY 41605-0436. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Lusk, Mike can be contacted via phone (606) 478-9474.Contact Information
Primary practice address
111 Hays Complex Hwy 23
Betsy Layne KY 41605-0436
Phone: (606) 478-9474
Fax: (606) 478-1000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 7768 | Kentucky |
Profile Details
| NPI number | 1487642203 |
|---|---|
| LBN Legal business name | Lusk, Mike |
| Credentials | R.PH. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1487642203 | NPPES |
| Kentucky | MEDICAID | 54017017 |
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