San, Luke
San, Luke is an sole proprietor health care provider with primary practice located at 202 Agee St , Farmville VA 23901-2617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. San, Luke can be contacted via phone (434) 392-6143.Contact Information
Primary practice address
202 Agee St
Farmville VA 23901-2617
Phone: (434) 392-6143
Fax: (434) 392-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101048599 | Virginia |
Profile Details
| NPI number | 1558397877 |
|---|---|
| LBN Legal business name | San, Luke |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Jun 18th, 2008 - about 16 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 | 1558397877 | NPPES |
| Virginia | MEDICAID | 005849632 |
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