Lutz, Joseph
Lutz, Joseph is an sole proprietor health care provider with primary practice located at 200 Maplewood Ave , Ronceverte WV 24970-1334. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lutz, Joseph can be contacted via phone (304) 647-1148.Contact Information
Primary practice address
200 Maplewood Ave
Ronceverte WV 24970-1334
Phone: (304) 647-1148
Fax: (304) 793-2208
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 536 | West Virginia |
Profile Details
NPI number | 1114945599 |
---|---|
LBN Legal business name | Lutz, Joseph |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 17th, 2006 |
Last updated | Mar 12th, 2009 - about 15 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 | 1114945599 | NPPES |
West Virginia | Other | 970003810 | CIGNA |
West Virginia | Other | 48/47 | CIGNA |
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