Pavlovich, Lucas John
Pavlovich, Lucas John is an individual health care provider with primary practice located at 812 Gorman Ave , Elkins WV 26241-3181. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Pavlovich, Lucas John can be contacted via phone (304) 636-3300.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 19751 | West Virginia |
Profile Details
NPI number | 1679553044 |
---|---|
LBN Legal business name | Pavlovich, Lucas John |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 20th, 2006 |
Last updated | Apr 26th, 2024 - about 7 months 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 | 1679553044 | NPPES |
Other | 1659391472 | TYPE II NPI | |
MEDICAID | 0098428000 | TYPE II NPI | |
Other | 5110270001 | TYPE II NPI | |
Other | 001722346 | TYPE II NPI |
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