Lustgarten, Eugene Jay

Lustgarten, Eugene Jay is an sole proprietor health care provider with primary practice located at 3075 W Oakland Park Blvd Ste 101 , Oakland Park FL 33311-1215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Lustgarten, Eugene Jay can be contacted via phone (954) 677-8484.

Contact Information

Primary practice address
3075 W Oakland Park Blvd Ste 101 Oakland Park FL 33311-1215
Phone: (954) 677-8484
Fax: (954) 677-8966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 476 Connecticut
Chiropractic Providers / Chiropractor 111N00000X CH4616 Florida
Chiropractic Providers / Chiropractor 111N00000X X003820-1 New York

Profile Details

NPI number 1669585691
LBN Legal business name Lustgarten, Eugene Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2006
Last updated Oct 9th, 2011 - about 13 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 1669585691 NPPES
Connecticut MEDICAID 4095099

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