Lutchman, Gordon D
Lutchman, Gordon D is an individual health care provider with primary practice located at 8352 Bustleton Ave , Philadelphia PA 19152-1909. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Lutchman, Gordon D can be contacted via phone (215) 809-1445.Contact Information
Primary practice address
8352 Bustleton Ave
Philadelphia PA 19152-1909
Phone: (215) 809-1445
Fax: (224) 235-4652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA04510100 | New Jersey |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 164843-1 | New York |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD456515 | Pennsylvania |
Profile Details
| NPI number | 1548270861 |
|---|---|
| LBN Legal business name | Lutchman, Gordon D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Nov 12th, 2018 - about 8 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 | 1548270861 | NPPES |
| New York | MEDICAID | 01034257 | |
| New York | MEDICAID | 0533033 | |
| New York | MEDICAID | 1031022030001 |
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